CLIA lab

CLIA 31D2122084: Fanwood Pharmacy

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

CLIA number 31D2122084 belongs to Fanwood Pharmacy in Fanwood, NJ.

Certificate of Waiver, effective November 18, 2024, expires November 17, 2026.

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
November 18, 2024
Certificate expiration
November 17, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 18, 2016
Facility type
Pharmacy
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
31D2122084
Lab name
Fanwood Pharmacy
Address
45 South Martine Ave, Fanwood, NJ 07023
Phone
(908) 680-6936
Fax
(908) 680-6937

Annual test volume the lab reported

Waived tests
50

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 Fanwood Pharmacy in Fanwood?

31D2122084, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fanwood Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2122084 expire?

The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.

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