CLIA lab
CLIA 31D1068760: Ivy Pediatrics, PA
South Amboy, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D1068760 belongs to Ivy Pediatrics, PA in South Amboy, NJ.
Certificate of Waiver, effective May 21, 2025, expires May 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
- May 21, 2025
- Certificate expiration
- May 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2007
- 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
- 31D1068760
- Lab name
- Ivy Pediatrics, PA
- Address
- 175 North Broadway, South Amboy, NJ 08879
- Phone
- (732) 952-8818
- Fax
- (732) 952-8816
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in South Amboy, NJ
- Core Outpatient Services, LLCCertificate of Waiver, Other31D2319276
- Harold V Mckenna MD PACertificate of Waiver, Physician office31D0945777
- Healthy Pediatrics at Old Bridge, LLCCertificate of Waiver, Physician office31D2041413
- Madura RX LLC DBA Madura PharmacyCertificate of Waiver, Pharmacy31D2241462
- Metropolitan Surgical Institute, LLCCertificate of Waiver, Ambulatory surgery center31D1086894
- NJ Doctors Urgent Care of Sayreville LLCCertificate of Waiver, Physician office31D2083958
- South Amboy Health CenterCertificate of Waiver, Other31D2208740
- Venetian HealthcareCertificate of Waiver, Skilled nursing or nursing facility31D2078908
Related
Questions
What is the CLIA number for Ivy Pediatrics, PA in South Amboy?
31D1068760, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Pediatrics, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D1068760 expire?
The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.