CLIA lab

CLIA 33D2170852: Four Seasons Dermatology LLC

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

CLIA number 33D2170852 belongs to Four Seasons Dermatology LLC in Plattsburgh, NY.

Certificate for Provider-Performed Microscopy Procedures, effective August 21, 2025, expires August 20, 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 for Provider-Performed Microscopy Procedures
Certificate effective
August 21, 2025
Certificate expiration
August 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 21, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
33D2170852
Lab name
Four Seasons Dermatology LLC
Address
2 Healey Avenue, Plattsburgh, NY 12901
Phone
(518) 310-3161
Fax
(802) 860-4919

Annual test volume the lab reported

Provider-performed microscopy tests
50

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

Affiliated CLIA numbers

Other labs in Plattsburgh, NY

Related

Questions

What is the CLIA number for Four Seasons Dermatology LLC in Plattsburgh?

33D2170852, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Four Seasons Dermatology LLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 33D2170852 expire?

The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.

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