CLIA lab

CLIA 33D2161634: Brookdale East Side

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

CLIA number 33D2161634 belongs to Brookdale East Side in Fayetteville, NY.

Certificate of Waiver, effective February 7, 2019, 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 7, 2019
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 7, 2019
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
33D2161634
Lab name
Brookdale East Side
Address
7164 E Genesee Street, Fayetteville, NY 13066
Phone
(315) 637-5127
Fax
(315) 637-1429

Annual test volume the lab reported

Waived tests
1,500

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 Brookdale East Side in Fayetteville?

33D2161634, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale East Side hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D2161634 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect February 7, 2019.

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