CLIA lab
CLIA 31D1096817: Clark Dermatology
Kenilworth, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D1096817 belongs to Clark Dermatology in Kenilworth, NJ.
Certificate of Compliance, effective July 15, 2025, expires July 14, 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 Compliance
- Certificate effective
- July 15, 2025
- Certificate expiration
- July 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 12, 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
- 31D1096817
- Lab name
- Clark Dermatology
- Additional name
- DBA Metropolitan Dermatology
- Address
- 622 Boulevard, Kenilworth, NJ 07033
- Phone
- (732) 574-1399
- Fax
- (732) 574-1433
Annual test volume the lab reported
- Other nonwaived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kenilworth, NJ
Related
Questions
What is the CLIA number for Clark Dermatology in Kenilworth?
31D1096817, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clark Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 31D1096817 expire?
The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.