CLIA lab

CLIA 33D2254605: Paul's Pharmacy

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

CLIA number 33D2254605 belongs to Paul's Pharmacy in South Salem, NY.

Certificate of Waiver, effective March 7, 2022, 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 7, 2022
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 7, 2022
Facility type
Pharmacy
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
33D2254605
Lab name
Paul's Pharmacy
Address
222 Oakridge Common, South Salem, NY 10590
Phone
(914) 533-5679
Fax
(914) 533-5222

Annual test volume the lab reported

Waived tests
250

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

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Questions

What is the CLIA number for Paul's Pharmacy in South Salem?

33D2254605, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Paul's Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D2254605 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 7, 2022.

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