CLIA lab
CLIA 31D2100842: Maxillofacial Surgery Center for Excellence
Red Bank, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D2100842 belongs to Maxillofacial Surgery Center for Excellence in Red Bank, NJ.
Certificate of Waiver, effective August 24, 2025, expires August 23, 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 24, 2025
- Certificate expiration
- August 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 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
- 31D2100842
- Lab name
- Maxillofacial Surgery Center for Excellence
- Address
- 276 Broad Street, Red Bank, NJ 07701
- Phone
- (732) 530-1110
- Fax
- (732) 530-3499
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Christopher B Kruse MD, LLCCertificate of Compliance, Physician office31D1099117
- Edward C Allegra II MDCertificate of Waiver, Physician office31D0935409
- Endoscopy Center of Red BankCertificate of Waiver, Ambulatory surgery center31D0935445
- Integrated Medicine Alliance, PACertificate of Waiver, Physician office31D0113531
- Intergrated Medicine Alliance, PACertificate of Waiver, Physician office31D2255975
- Mayur V Patel, MDCertificate of Waiver, Physician office31D2002259
Related
Questions
What is the CLIA number for Maxillofacial Surgery Center for Excellence in Red Bank?
31D2100842, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maxillofacial Surgery Center for Excellence hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D2100842 expire?
The CMS file lists August 23, 2027 as the certificate expiration date; the certificate took effect August 24, 2025.