CLIA lab
CLIA 31D0115823: Ita Scolnick MD
Randolph, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D0115823 belongs to Ita Scolnick MD in Randolph, NJ.
Certificate of Waiver, effective January 24, 2025, expires January 23, 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
- January 24, 2025
- Certificate expiration
- January 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- 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
- 31D0115823
- Lab name
- Ita Scolnick MD
- Address
- 447 Rte 10 Suite 16, Randolph, NJ 07869
- Phone
- (201) 361-2860
Annual test volume the lab reported
- Waived tests
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Randolph, NJ
- Acme Pharmacy #2927Certificate of Waiver, Pharmacy31D2274620
- Amg Cardiology at RandolphCertificate of Waiver, Physician office31D1065523
- Atlantic Medical Group Primary Care at RandolphCertificate of Waiver, Physician office31D1102784
- College Plaza PediatricsCertificate of Waiver, Physician office31D2023866
- Id Care PACertificate of Waiver, Physician office31D0999634
- John S Freiheiter - A Member of Consensus HealthCertificate of Waiver, Physician office31D2245435
- Kenneth Miller MDCertificate of Waiver, Physician office31D0115831
- Kishwar Shareef MDCertificate of Waiver, Physician office31D1081080
- Koala PediatricsCertificate of Waiver, Physician office31D2168834
- Life Medical Group, PCCertificate of Registration, Mobile lab31D2322466
Related
Questions
What is the CLIA number for Ita Scolnick MD in Randolph?
31D0115823, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ita Scolnick MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D0115823 expire?
The CMS file lists January 23, 2027 as the certificate expiration date; the certificate took effect January 24, 2025.