CLIA lab
CLIA 33D2115614: Revitalize Cny LLC
Fayetteville, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2115614 belongs to Revitalize Cny LLC in Fayetteville, NY.
Certificate of Waiver, effective July 12, 2022, 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
- July 12, 2022
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 11, 2016
- Facility type
- Independent
- 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
- 33D2115614
- Lab name
- Revitalize Cny LLC
- Address
- 6800 E Genesee St - Suite 1200, Fayetteville, NY 13066
- Phone
- (315) 251-1234
- Fax
- (315) 251-1144
Annual test volume the lab reported
- Waived tests
- 49
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fayetteville, NY
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- Associates for Women's Medicine PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office33D1010855
- Brookdale East SideCertificate of Waiver, Assisted living facility33D2161634
- Crouse Medical Practice Ob/GynCertificate of Waiver, Physician office33D2299658
- Denise C Wolken MD PLLCCertificate of Waiver, Physician office33D2142331
- Dermatology Associates of Cny PLLCCertificate of Compliance, Physician office33D1045698
- Endoscopy Center of Central New YorkCertificate of Waiver, Ambulatory surgery center33D1079083
- Errol S Mckenzie MD PLLCCertificate of Waiver, Physician office33D1061235
- Kate S Robinson MD PLLCCertificate of Waiver, Physician office33D0165599
- Manlius Clare Bridge OperatorCertificate of Waiver, Assisted living facility33D2213690
Related
Questions
What is the CLIA number for Revitalize Cny LLC in Fayetteville?
33D2115614, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revitalize Cny LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2115614 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect July 12, 2022.