CLIA lab

CLIA 31D2167191: Sovereign Medical Group LLC

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

CLIA number 31D2167191 belongs to Sovereign Medical Group LLC in Bayonne, NJ.

Certificate of Waiver, effective June 4, 2025, expires June 3, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
June 4, 2025
Certificate expiration
June 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 4, 2019
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
31D2167191
Lab name
Sovereign Medical Group LLC
Address
807 Jfk Blvd, Bayonne, NJ 07002
Phone
(201) 855-8477
Fax
(201) 301-8892

Annual test volume the lab reported

Waived tests
60

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Bayonne, NJ

Related

Questions

What is the CLIA number for Sovereign Medical Group LLC in Bayonne?

31D2167191, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sovereign Medical Group LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2167191 expire?

The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.