CLIA lab

CLIA 33D2144154: Champlin Valley Senior Community

Willsboro, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 33D2144154 belongs to Champlin Valley Senior Community in Willsboro, NY.

Certificate of Waiver, effective February 12, 2018, 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
February 12, 2018
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 12, 2018
Facility type
Assisted living facility
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
33D2144154
Lab name
Champlin Valley Senior Community
Address
10 Gilliland Lane, Willsboro, NY 12996
Phone
(518) 817-9108
Fax
(888) 963-1110

Annual test volume the lab reported

Waived tests
3,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Champlin Valley Senior Community in Willsboro?

33D2144154, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Champlin Valley Senior Community hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D2144154 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect February 12, 2018.

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