CLIA lab

CLIA 31D2122777: Hackensack University Medical Group

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

CLIA number 31D2122777 belongs to Hackensack University Medical Group in Hackensack, NJ.

Certificate of Waiver, effective March 31, 2025, expires March 30, 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
March 31, 2025
Certificate expiration
March 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 6, 2016
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
31D2122777
Lab name
Hackensack University Medical Group
Additional name
Pediatric Adolescent Medicine
Address
30 Prospect Avenue, Wfan Building, Third Floor, Hackensack, NJ 07601
Phone
(551) 996-2237
Fax
(551) 996-0734

Annual test volume the lab reported

Waived tests
800

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 Hackensack University Medical Group in Hackensack?

31D2122777, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hackensack University Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2122777 expire?

The CMS file lists March 30, 2027 as the certificate expiration date; the certificate took effect March 31, 2025.

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