CLIA lab
CLIA 33D2289718: Magnolia Medical PC
Mount Vernon, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2289718 belongs to Magnolia Medical PC in Mount Vernon, NY.
Certificate of Waiver, effective September 14, 2025, expires September 13, 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
- September 14, 2025
- Certificate expiration
- September 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2023
- 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
- 33D2289718
- Lab name
- Magnolia Medical PC
- Address
- 11 Park Ave, Suite 1K, Mount Vernon, NY 10550
- Phone
- (914) 668-6140
- Fax
- (914) 663-8745
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mount Vernon, NY
- All Metro Health CareCertificate of Waiver, Home health agency33D0993545
- American Medical Response of New York LLCCertificate of Waiver, Ambulance33D2130389
- Berkemeier Living Center LLCCertificate of Waiver, Assisted living facility33D2308251
- CVS Pharmacy No 02164Certificate of Waiver, Pharmacy33D2281823
- Christopher Adubor Physician PCCertificate of Waiver, Physician office33D0996087
- DR Dhansukh M PatelCertificate of Waiver, Physician office33D0941310
- Divinity Medical Services PLLCCertificate of Waiver, Community clinic33D2151419
- Graham SchoolCertificate of Waiver, School or student health service33D2297930
- Hamilton SchoolCertificate of Waiver, School or student health service33D2297929
- Knights Family Health NP PLLCCertificate of Waiver, Physician office33D2341176
Related
Questions
What is the CLIA number for Magnolia Medical PC in Mount Vernon?
33D2289718, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Medical PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2289718 expire?
The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.