CLIA lab
CLIA 31D2167468: Sovereign Medical Group, LLC
Fair Lawn, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D2167468 belongs to Sovereign Medical Group, LLC in Fair Lawn, NJ.
Certificate of Waiver, effective June 10, 2025, expires June 9, 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 10, 2025
- Certificate expiration
- June 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 10, 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
- 31D2167468
- Lab name
- Sovereign Medical Group, LLC
- Address
- 14-01 Broadway, Suite B, Fair Lawn, NJ 07410
- 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.
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- Chemisys Laboratories LLCCertificate of Accreditation, Independent23D2098168
- Children's Ambulatory Surgery CTR of New JerseyllcCertificate of Waiver, Ambulatory surgery center31D2033772
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- East Brunswick DialysisCertificate of Waiver, End stage renal disease dialysis facility31D2070528
Related
Questions
What is the CLIA number for Sovereign Medical Group, LLC in Fair Lawn?
31D2167468, 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 31D2167468 expire?
The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.