CLIA lab

CLIA 31D1090536: Selevany Medical Group

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

CLIA number 31D1090536 belongs to Selevany Medical Group in Haledon, NJ.

Certificate of Waiver, effective October 14, 2024, expiration date October 13, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 14, 2024
Certificate expiration
October 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 2008
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
31D1090536
Lab name
Selevany Medical Group
Address
401 Haledon Avenue, Haledon, NJ 07538
Phone
(973) 595-1122
Fax
(973) 595-7711

Annual test volume the lab reported

Waived tests
2,000

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 Selevany Medical Group in Haledon?

31D1090536, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Selevany Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D1090536 expire?

The CMS file lists October 13, 2026 as the certificate expiration date; the certificate took effect October 14, 2024.

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