CLIA lab
CLIA 31D0911126: Virtua Primary Care Maple Shade
Maple Shade, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D0911126 belongs to Virtua Primary Care Maple Shade in Maple Shade, NJ.
Certificate of Waiver, effective January 26, 2026, expires January 25, 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
- January 26, 2026
- Certificate expiration
- January 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 1996
- 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
- 31D0911126
- Lab name
- Virtua Primary Care Maple Shade
- Address
- 19 West Main Street, Suite C, Maple Shade, NJ 08052
- Phone
- (856) 779-7386
- Fax
- (856) 779-7563
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- Neurorestorative Roberts MillCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities31D2234450
- New Jersey CVS Pharmacy, LLCCertificate of Waiver, Pharmacy31D2282263
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Related
Questions
What is the CLIA number for Virtua Primary Care Maple Shade in Maple Shade?
31D0911126, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Virtua Primary Care Maple Shade hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D0911126 expire?
The CMS file lists January 25, 2028 as the certificate expiration date; the certificate took effect January 26, 2026.