CLIA lab
CLIA 33D2201470: Pelham Pkwy Professional Medical Services
Stony Brook, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2201470 belongs to Pelham Pkwy Professional Medical Services in Stony Brook, NY.
Certificate of Waiver, effective November 20, 2024, expires November 19, 2026.
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
- November 20, 2024
- Certificate expiration
- November 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 2020
- 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
- 33D2201470
- Lab name
- Pelham Pkwy Professional Medical Services
- Additional name
- Of New York LLC
- Address
- 2350 Nesconset Hwy - Suite 500, Stony Brook, NY 11790
- Phone
- (631) 364-0553
- Fax
- (888) 688-8271
Annual test volume the lab reported
- Waived 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 Stony Brook, NY
- A Kim Medical PCCertificate of Compliance, Physician office33D1078647
- Acp RadiologyCertificate of Waiver, Ancillary test site33D2048281
- Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center33D2042277
- Applied Dna Clinical Labs, LLCCertificate of Compliance, Independent33D2187353
- Belaray DermatologyCertificate of Compliance, Physician office33D2267793
- Carefirst Family Medical PCCertificate of Waiver, Physician office33D1090791
- Cytogenx CorpCertificate of Compliance, Independent33D0981518
- DR Chun Chen Primary Medical Care PCCertificate of Waiver, Physician office33D1019757
- Doughty & Ryzova Medical Group PCCertificate of Waiver, Physician office33D0159551
- Duane Reade No 14257Certificate of Waiver, Pharmacy33D2294464
Related
Questions
What is the CLIA number for Pelham Pkwy Professional Medical Services in Stony Brook?
33D2201470, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pelham Pkwy Professional Medical Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2201470 expire?
The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.