CLIA lab

CLIA 31D0122991: Rwjbh Lacey Road Primary Care

Forked River, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 31D0122991 belongs to Rwjbh Lacey Road Primary Care in Forked River, NJ.

Certificate of Waiver, effective June 23, 2026, expires June 22, 2028.

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
June 23, 2026
Certificate expiration
June 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
November 25, 1994
Facility type
Physician office
Ownership (control type)
Private
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
31D0122991
Lab name
Rwjbh Lacey Road Primary Care
Address
1001 Lacey Rd, Forked River, NJ 08731
Phone
(609) 693-8900
Fax
(551) 310-6739

Annual test volume the lab reported

Waived tests
100

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

Other labs in Forked River, NJ

Related

Questions

What is the CLIA number for Rwjbh Lacey Road Primary Care in Forked River?

31D0122991, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rwjbh Lacey Road Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D0122991 expire?

The CMS file lists June 22, 2028 as the certificate expiration date; the certificate took effect June 23, 2026.

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