CLIA lab
CLIA 33D2107016: N K Shah Medical, PC
Hollis, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2107016 belongs to N K Shah Medical, PC in Hollis, NY.
Certificate of Waiver, effective January 5, 2026, expires January 4, 2028.
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 5, 2026
- Certificate expiration
- January 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2016
- 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
- 33D2107016
- Lab name
- N K Shah Medical, PC
- Address
- 205-07 Hillside Avenue, Suite 12, Hollis, NY 11423
- Phone
- (718) 464-6700
- Fax
- (718) 464-8100
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Healthmed Diagnostic and Treatment CenterCertificate of Waiver, Ancillary test site33D2232270
- Hollis Park Manor Nursing Home IncCertificate of Waiver, Skilled nursing or nursing facility33D0904216
- Holliswood Center for Rehab andCertificate of Waiver, Skilled nursing or nursing facility33D2028661
- Howard W Bradnock MD PCCertificate of Waiver, Physician office33D1097126
- Olusegun M Adeonigbagbe MD PCCertificate of Waiver, Physician office33D1095777
- Supreme Medical Care PLLCCertificate of Waiver, Physician office33D2094506
Related
Questions
What is the CLIA number for N K Shah Medical, PC in Hollis?
33D2107016, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does N K Shah Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2107016 expire?
The CMS file lists January 4, 2028 as the certificate expiration date; the certificate took effect January 5, 2026.