CLIA lab
CLIA 33D2075102: Forme Rehabilitation, Inc DBA Forme Urgent Care
White Plains, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2075102 belongs to Forme Rehabilitation, Inc DBA Forme Urgent Care in White Plains, NY.
Certificate of Compliance, effective March 24, 2014, expires March 26, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- March 24, 2014
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 2014
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA exempt laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D2075102
- Lab name
- Forme Rehabilitation, Inc DBA Forme Urgent Care
- Additional name
- And Wellness Center
- Address
- 7-11 South Broaddway, White Plains, NY 10601
- Phone
- (914) 723-4900
- Fax
- (914) 902-9011
Annual test volume the lab reported
- Other nonwaived tests
- 1
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bella Mae Plastic Surgery, PCCertificate of Waiver, Physician office33D2291789
- Burke Rehabilitation HospitalCertificate of Compliance, Hospital33D0140065
- By Wound Care Internal Medicine PCCertificate for Provider-Performed Microscopy Procedures, Physician office33D2130019
- Cairo DiagnosticsCertificate of Compliance, Independent33D2047314
- Childrens Rehabilitation CenterCertificate of Waiver, Community clinic33D2013214
- City Medical of Upper East Side PLLCCertificate of Waiver, Physician office33D2078341
- Coachman Family CenterCertificate of Waiver, Federally qualified health center33D2229357
- Columbia University Fertility CenterCertificate of Waiver, School or student health service33D2165219
Related
Questions
What is the CLIA number for Forme Rehabilitation, Inc DBA Forme Urgent Care in White Plains?
33D2075102, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Forme Rehabilitation, Inc DBA Forme Urgent Care hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 33D2075102 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 24, 2014.