CLIA lab
CLIA 33D2075539: SJR Medical PC ST John's Medical Group
Hartsdale, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2075539 belongs to SJR Medical PC ST John's Medical Group in Hartsdale, NY.
Certificate of Waiver, effective April 1, 2024, 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 Waiver
- Certificate effective
- April 1, 2024
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 31, 2014
- Facility type
- Physician office
- 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
- 33D2075539
- Lab name
- SJR Medical PC ST John's Medical Group
- Additional name
- Hartsdale
- Address
- 141 S Central Ave, Hartsdale, NY 10530
- Phone
- (914) 713-3228
- Fax
- (914) 713-3231
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Drug Trials AmericaCertificate of Waiver, Other33D2032955
- Evergreen Vitality Primary CareCertificate of Waiver, Physician office33D2347932
- Hartsdale Family EyecareCertificate of Waiver, Physician office33D2277954
- Industrial Medicine AssociatesCertificate of Waiver, Independent33D1018212
- Integrated Medical Services Ny PLLCCertificate of Waiver, Physician office33D2079382
- Ira Davis MD PLLCCertificate of Compliance, Physician office33D1007238
- Lab of the Montefiore Institute forCertificate of Compliance, Ancillary test site33D0669097
Related
Questions
What is the CLIA number for SJR Medical PC ST John's Medical Group in Hartsdale?
33D2075539, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does SJR Medical PC ST John's Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2075539 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect April 1, 2024.