CLIA lab
CLIA 33D2184420: Ivylea Pharmacy
Kenmore, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2184420 belongs to Ivylea Pharmacy in Kenmore, NY.
Certificate of Waiver, effective May 20, 2020, 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
- May 20, 2020
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 20, 2020
- Facility type
- Pharmacy
- 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
- 33D2184420
- Lab name
- Ivylea Pharmacy
- Address
- 2446 Elmwood Ave, Kenmore, NY 14217
- Phone
- (716) 873-1444
- Fax
- (716) 873-5496
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Catholic Health Laboratory ServicesCertificate of Compliance, Hospital33D0170420
- Diane J Sutter MDCertificate of Waiver, Physician office33D2020219
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- Healthworks of Wny LLPCertificate of Waiver, Other33D1099937
- Julie A Gavin MD, Ob/Gyn PLLCCertificate of Waiver, Physician office33D2022948
- Ken-Ton Open MriCertificate of Waiver, Physician office33D1078213
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Related
Questions
What is the CLIA number for Ivylea Pharmacy in Kenmore?
33D2184420, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivylea Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2184420 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect May 20, 2020.