CLIA lab

CLIA 31D2109075: Department of Health & Community Wellness

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

CLIA number 31D2109075 belongs to Department of Health & Community Wellness in Newark, NJ.

Certificate of Waiver, effective February 4, 2026, expires February 3, 2028.

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
February 4, 2026
Certificate expiration
February 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 18, 2016
Facility type
Federally qualified health center
Ownership (control type)
Other
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
31D2109075
Lab name
Department of Health & Community Wellness
Address
140 Bergen Street, Mary Eliza Mahoney Hlth Ctr, Newark, NJ 07103
Phone
(973) 877-6093

Annual test volume the lab reported

Waived tests
1,200

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 Department of Health & Community Wellness in Newark?

31D2109075, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Department of Health & Community Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2109075 expire?

The CMS file lists February 3, 2028 as the certificate expiration date; the certificate took effect February 4, 2026.

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