CLIA lab
CLIA 33D2194882: Desta Anthony Mobile NP Adult Health PLLC
Manlius, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2194882 belongs to Desta Anthony Mobile NP Adult Health PLLC in Manlius, NY.
Certificate of Waiver, effective October 5, 2024, expiration date October 4, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 5, 2024
- Certificate expiration
- October 4, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D2194882
- Lab name
- Desta Anthony Mobile NP Adult Health PLLC
- Address
- 8241 Penstock Way, Manlius, NY 13104
- Phone
- (315) 413-3848
- Fax
- (315) 692-4292
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Manlius, NY
- Brookdale ManliusCertificate of Waiver, Assisted living facility33D2146900
- CVS Pharmacy No 07617Certificate of Waiver, Pharmacy33D2261649
- Fairgrounds Family Physicians PLLCCertificate of Waiver, Independent33D0682921
- Family Care Medical Group PCCertificate for Provider-Performed Microscopy Procedures, Physician office33D0165808
- The Synergy Center LaboratoryCertificate for Provider-Performed Microscopy Procedures, Physician office33D2114017
- Village of Manlius Ambulance EMS ServiceCertificate of Waiver, Ambulance33D2302913
- Walgreens No 17643Certificate of Waiver, Pharmacy33D2237036
Related
Questions
What is the CLIA number for Desta Anthony Mobile NP Adult Health PLLC in Manlius?
33D2194882, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Desta Anthony Mobile NP Adult Health PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2194882 expire?
The CMS file lists October 4, 2026 as the certificate expiration date; the certificate took effect October 5, 2024.