CLIA lab
CLIA 33D2089527: Medical Office of Doctor Ilona K Polak PC
Sag Harbor, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2089527 belongs to Medical Office of Doctor Ilona K Polak PC in Sag Harbor, NY.
Certificate of Waiver, effective January 2, 2025, expires January 1, 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
- January 2, 2025
- Certificate expiration
- January 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 2, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D2089527
- Lab name
- Medical Office of Doctor Ilona K Polak PC
- Additional name
- DBA Sag Harbor Medical Walk in
- Address
- 34 Bay Street, Sag Harbor, NY 11963
- Phone
- (631) 808-3337
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sag Harbor, NY
Related
Questions
What is the CLIA number for Medical Office of Doctor Ilona K Polak PC in Sag Harbor?
33D2089527, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medical Office of Doctor Ilona K Polak PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2089527 expire?
The CMS file lists January 1, 2027 as the certificate expiration date; the certificate took effect January 2, 2025.