CLIA lab

CLIA 33D2215865: Rachel I Raven Family Health

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

CLIA number 33D2215865 belongs to Rachel I Raven Family Health in Gouverneur, NY.

Certificate of Waiver, effective March 8, 2021, 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
March 8, 2021
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 8, 2021
Facility type
Other
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
33D2215865
Lab name
Rachel I Raven Family Health
Additional name
Nurse Practitioner, PLLC
Address
209 E Main St, Gouverneur, NY 13642
Phone
(315) 323-7360
Fax
(315) 216-3545

Annual test volume the lab reported

Waived tests
240

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

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Related

Questions

What is the CLIA number for Rachel I Raven Family Health in Gouverneur?

33D2215865, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rachel I Raven Family Health hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D2215865 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 8, 2021.

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