CLIA lab
CLIA 33D2170495: Port Jefferson Operating LLC Water's Edge
Port Jefferson, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2170495 belongs to Port Jefferson Operating LLC Water's Edge in Port Jefferson, NY.
Certificate of Waiver, effective August 13, 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
- August 13, 2019
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 2019
- Facility type
- Ancillary test site
- 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
- 33D2170495
- Lab name
- Port Jefferson Operating LLC Water's Edge
- Additional name
- Rehab and Nursing
- Address
- 150 Dark Hollow Rd, Port Jefferson, NY 11777
- Phone
- (631) 473-5400
Annual test volume the lab reported
- Waived tests
- 8,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Port Jefferson, NY
- Advanced Gastroenterology & Endoscopy, PCCertificate of Compliance, Physician office33D2058269
- Brookhaven Gastroenterology Associates PCCertificate of Waiver, Physician office33D2273244
- CS Medical Associates PCCertificate of Waiver, Physician office33D2341406
- Good Samaritan Unviersity HospitalCertificate of Compliance, Hospital33D0158845
- Good Shepherd Hospice Inpatient CenterCertificate of Waiver, Hospice33D2058292
- Harbor View Medical Services PCCertificate of Waiver, Ancillary test site33D2109161
- Jim Best DO PCCertificate of Waiver, Physician office33D2018029
- Mark Di Benedetto MDCertificate of Waiver, Physician office33D0158777
- Mather Chemical Dependency ClinicCertificate of Waiver, Other33D2211199
- Mather Hospital Northwell HealthCertificate of Compliance, Hospital33D0158831
Related
Questions
What is the CLIA number for Port Jefferson Operating LLC Water's Edge in Port Jefferson?
33D2170495, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Port Jefferson Operating LLC Water's Edge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2170495 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect August 13, 2019.