CLIA lab

CLIA 31D1094599: Jackson Family Practice, LLC

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

CLIA number 31D1094599 belongs to Jackson Family Practice, LLC in Freehold, NJ.

Certificate of Waiver, effective January 22, 2025, expires January 21, 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
January 22, 2025
Certificate expiration
January 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2009
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
31D1094599
Lab name
Jackson Family Practice, LLC
Address
55 Schanck Road, Suite A 20, Freehold, NJ 07728
Phone
(732) 683-0010
Fax
(732) 683-0013

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Freehold, NJ

Related

Questions

What is the CLIA number for Jackson Family Practice, LLC in Freehold?

31D1094599, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jackson Family Practice, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D1094599 expire?

The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.

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