CLIA lab
CLIA 31D2100692: Evolved Adolescent and Young Adult Medicine
Ridgewood, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D2100692 belongs to Evolved Adolescent and Young Adult Medicine in Ridgewood, NJ.
Certificate of Waiver, effective August 20, 2025, expires August 19, 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
- August 20, 2025
- Certificate expiration
- August 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 20, 2015
- 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
- 31D2100692
- Lab name
- Evolved Adolescent and Young Adult Medicine
- Address
- 1250 East Ridgewood Avenue, Suite 12, Ridgewood, NJ 07450
- Phone
- (201) 857-5770
- Fax
- (201) 444-8408
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ridgewood, NJ
- Advocare Ridgewood MedicalCertificate of Waiver, Physician office31D0110518
- Advocare Ridgewood PediatricsCertificate of Waiver, Physician office31D1036442
- Affiliated Dermatology & Plastic SurgCertificate for Provider-Performed Microscopy Procedures, Physician office31D0875623
- Bergen Dermatology SpecialistsCertificate of Compliance, Physician office31D0868680
- Care Access Research LLCCertificate of Waiver, Other31D2326069
- Curalta Medical LLCCertificate of Accreditation, Physician office31D2279967
- Endocrine360_kfCertificate of Waiver, Physician office31D2327196
- Eric Bentolila MD PACertificate of Waiver, Physician office31D2235604
- Family of Caring at RidgewoodCertificate of Waiver, Skilled nursing or nursing facility31D0676429
- Gastroenterology Associates of New Jersey, LLCCertificate of Waiver, Physician office31D2104275
Related
Questions
What is the CLIA number for Evolved Adolescent and Young Adult Medicine in Ridgewood?
31D2100692, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evolved Adolescent and Young Adult Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D2100692 expire?
The CMS file lists August 19, 2027 as the certificate expiration date; the certificate took effect August 20, 2025.