CLIA lab
CLIA 33D2210921: Empire Dermatology PLLC
Fulton, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2210921 belongs to Empire Dermatology PLLC in Fulton, NY.
Certificate for Provider-Performed Microscopy Procedures, effective May 1, 2025, expires April 30, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 1, 2025
- Certificate expiration
- April 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2021
- 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
- 33D2210921
- Lab name
- Empire Dermatology PLLC
- Address
- 522 South 4th Street Suite 1300, Fulton, NY 13069
- Phone
- (315) 500-7546
- Fax
- (315) 378-4210
Annual test volume the lab reported
- Waived tests
- 60
- Provider-performed microscopy tests
- 20
- Total
- 80
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fulton MainCertificate of Waiver, Physician office33D2150118
- Fulton NorthCertificate of Waiver, Physician office33D2241551
- Northway Medical Associates PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office33D0165658
- Oswego County Ambulance ServiceCertificate of Waiver, Public health laboratory33D1101039
- Oswego County Ob-Gyn, PCCertificate for Provider-Performed Microscopy Procedures, Physician office33D2051649
- Oswego Health Urgent Care LaboratoryCertificate of Waiver, Community clinic33D1098205
- Oswego Industries IncCertificate of Waiver, Industrial33D0869778
- River View PediatricsCertificate of Waiver, Physician office33D0165627
- The Maples Assisted Living Facility LLCCertificate of Waiver, Assisted living facility33D2299589
Related
Questions
What is the CLIA number for Empire Dermatology PLLC in Fulton?
33D2210921, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Empire Dermatology PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 33D2210921 expire?
The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.