CLIA lab

CLIA 31D2167776: Guillermo Ortiz, MD

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

CLIA number 31D2167776 belongs to Guillermo Ortiz, MD in Wharton, NJ.

Certificate of Waiver, effective June 14, 2025, expires June 13, 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 14, 2025
Certificate expiration
June 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 14, 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
31D2167776
Lab name
Guillermo Ortiz, MD
Address
249 South Main Street, Wharton, NJ 07885
Phone
(973) 361-5252
Fax
(973) 361-6161

Annual test volume the lab reported

Waived tests
20

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

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Questions

What is the CLIA number for Guillermo Ortiz, MD in Wharton?

31D2167776, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Guillermo Ortiz, MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2167776 expire?

The CMS file lists June 13, 2027 as the certificate expiration date; the certificate took effect June 14, 2025.

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