CLIA lab
CLIA 33D2094506: Supreme Medical Care PLLC
Hollis, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2094506 belongs to Supreme Medical Care PLLC in Hollis, NY.
Certificate of Waiver, effective April 20, 2025, expires April 19, 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 20, 2025
- Certificate expiration
- April 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 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
- 33D2094506
- Lab name
- Supreme Medical Care PLLC
- Address
- 189-11 Jamaica Avenue, Hollis, NY 11423
- Phone
- (718) 479-1100
- Fax
- (718) 479-1103
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Howard W Bradnock MD PCCertificate of Waiver, Physician office33D1097126
- N K Shah Medical, PCCertificate of Waiver, Physician office33D2107016
- Olusegun M Adeonigbagbe MD PCCertificate of Waiver, Physician office33D1095777
Related
Questions
What is the CLIA number for Supreme Medical Care PLLC in Hollis?
33D2094506, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Supreme Medical Care PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2094506 expire?
The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.