CLIA lab

CLIA 31D2167229: Sovereign Medical Group, LLC

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

CLIA number 31D2167229 belongs to Sovereign Medical Group, LLC in North Bergen, 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

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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
31D2167229
Lab name
Sovereign Medical Group, LLC
Address
8100 Jfk Boulevard, North Bergen, NJ 07047
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 North Bergen, NJ

Related

Questions

What is the CLIA number for Sovereign Medical Group, LLC in North Bergen?

31D2167229, 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 31D2167229 expire?

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

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