CLIA lab
CLIA 31D2167198: Sovereign Medical Group LLC
Glen Rock, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D2167198 belongs to Sovereign Medical Group LLC in Glen Rock, NJ.
Certificate of Waiver, effective January 21, 2025, expires January 20, 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
- January 21, 2025
- Certificate expiration
- January 20, 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
- 31D2167198
- Lab name
- Sovereign Medical Group LLC
- Address
- 85 Harristown Road, Suite 102, Glen Rock, NJ 07452
- Phone
- (201) 855-8477
- Fax
- (201) 301-8892
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Glen Rock, NJ
- Eye Centers of AmericaCertificate of Waiver, Physician office31D2044167
- Glen Rock PediatricsCertificate of Waiver, Physician office31D2063113
- Glen Rock Volunteer Ambulance Corps IncCertificate of Waiver, Ambulance31D2326625
- Progressive Spine and Sports MedicineCertificate of Waiver, Physician office31D2099754
- Rock Ridge PharmacyCertificate of Waiver, Pharmacy31D2185183
- Tribeca Pediatrics, PCCertificate of Waiver, Physician office31D2348490
- Valley Physician ServicesCertificate of Waiver, Physician office31D0109875
Related
Questions
What is the CLIA number for Sovereign Medical Group LLC in Glen Rock?
31D2167198, 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 31D2167198 expire?
The CMS file lists January 20, 2027 as the certificate expiration date; the certificate took effect January 21, 2025.