CLIA lab

CLIA 33D2192945: WG Hertlin House SH LLC

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

CLIA number 33D2192945 belongs to WG Hertlin House SH LLC in Lake Ronkonkoma, NY.

Certificate of Waiver, effective September 16, 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
September 16, 2020
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 16, 2020
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
33D2192945
Lab name
WG Hertlin House SH LLC
Address
675 Portion Rd, Lake Ronkonkoma, NY 11779
Phone
(631) 981-1880
Fax
(502) 779-4749

Annual test volume the lab reported

Waived tests
3,750

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

Other labs in Lake Ronkonkoma, NY

Related

Questions

What is the CLIA number for WG Hertlin House SH LLC in Lake Ronkonkoma?

33D2192945, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does WG Hertlin House SH LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D2192945 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect September 16, 2020.

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