CLIA lab
CLIA 33D2171632: Grand Boulevard Dialysis
Deer Park, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2171632 belongs to Grand Boulevard Dialysis in Deer Park, NY.
Certificate of Waiver, effective September 5, 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
- September 5, 2019
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2019
- Facility type
- End stage renal disease dialysis 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
- 33D2171632
- Lab name
- Grand Boulevard Dialysis
- Address
- 860 Grand Blvd, Deer Park, NY 11729
- Phone
- (631) 243-7770
- Fax
- (631) 243-7775
Annual test volume the lab reported
- Waived tests
- 2,435
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Grand Boulevard DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Deer Park, NY
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- Deer Park Fire District No 14Certificate of Waiver, Ambulance33D2289833
- Francine P Dimaria, DOCertificate of Waiver, Physician office33D1021307
- Innovative Medical Care PLLCCertificate of Waiver, Physician office33D2064075
- Long Island Comprehensive Medical CareCertificate of Waiver, Physician office33D2345550
- Mark Medical Care PLLCCertificate of Waiver, Physician office33D2187572
- Northwell Gohealth Urgent Care - Deer ParkCertificate of Waiver, Community clinic33D2288893
- Orthopaedics Spine and Sports Medicine LLCCertificate of Waiver, Physician office33D2117589
Related
Questions
What is the CLIA number for Grand Boulevard Dialysis in Deer Park?
33D2171632, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Boulevard Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2171632 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect September 5, 2019.