CLIA lab
CLIA 33D2120875: 1110 Pennsylvania Avenue Medical PLLC
Brooklyn, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2120875 belongs to 1110 Pennsylvania Avenue Medical PLLC in Brooklyn, NY.
Certificate of Waiver, effective October 26, 2026, expires October 25, 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
- October 26, 2026
- Certificate expiration
- October 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 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
- 33D2120875
- Lab name
- 1110 Pennsylvania Avenue Medical PLLC
- Additional name
- DBA Ny Urgent Care
- Address
- 1110 Pennsylvania Avenue - Suite 5, Brooklyn, NY 11207
- Phone
- (718) 272-2272
- Fax
- (718) 272-2273
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 8th Ave PharmacyCertificate of Waiver, Pharmacy33D2264241
- A & D Medical PCCertificate of Waiver, Physician office33D2085796
- A & I Medical PCCertificate of Waiver, Physician office33D2301591
- A M Nephrology Care PCCertificate of Waiver, Physician office33D1031070
- A Merryland Health CenterCertificate of Waiver, Physician office33D2345781
Related
Questions
What is the CLIA number for 1110 Pennsylvania Avenue Medical PLLC in Brooklyn?
33D2120875, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 1110 Pennsylvania Avenue Medical PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2120875 expire?
The CMS file lists October 25, 2028 as the certificate expiration date; the certificate took effect October 26, 2026.