CLIA lab
CLIA 31D0965454: Park Avenue Medical Associates
Lyndhurst, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D0965454 belongs to Park Avenue Medical Associates in Lyndhurst, NJ.
Certificate of Waiver, effective September 21, 2025, expires September 20, 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 21, 2025
- Certificate expiration
- September 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 1999
- 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
- 31D0965454
- Lab name
- Park Avenue Medical Associates
- Address
- 30 Park Avenue Suite 202, Lyndhurst, NJ 07071
- Phone
- (201) 438-5900
- Fax
- (201) 438-5980
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bhmg-United MedicalCertificate of Waiver, Physician office31D0106648
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- Essex Hudson Urology - LyndhurstCertificate of Waiver, Physician office31D2064069
- Firstcare Medical GroupCertificate of Waiver, Physician office31D0106667
- Gene Tox Worldwide LLCCertificate of Accreditation, Independent31D2115446
- Gisele Castelluber MD PACertificate of Waiver, Physician office31D0985126
- Hackensack Meridian Health Medical GroupCertificate of Waiver, Physician office31D0939058
- Lyndhurst DialysisCertificate of Waiver, End stage renal disease dialysis facility31D2123200
- Medical Service Professionals of NJ, LLCCertificate of Waiver, Physician office31D2136414
Related
Questions
What is the CLIA number for Park Avenue Medical Associates in Lyndhurst?
31D0965454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Avenue Medical Associates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D0965454 expire?
The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.