CLIA lab
CLIA 31D1020640: Evergreen Pediatrics PC
Fort Lee, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D1020640 belongs to Evergreen Pediatrics PC in Fort Lee, NJ.
Certificate of Waiver, effective December 29, 2025, expires December 28, 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
- December 29, 2025
- Certificate expiration
- December 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 2003
- 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
- 31D1020640
- Lab name
- Evergreen Pediatrics PC
- Address
- 1555 Center Ave Suite #1A, Fort Lee, NJ 07024
- Phone
- (201) 224-3344
- Fax
- (201) 224-4141
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Evergreen Pediatrics PC in Fort Lee?
31D1020640, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D1020640 expire?
The CMS file lists December 28, 2027 as the certificate expiration date; the certificate took effect December 29, 2025.