CLIA lab

CLIA 31D2176040: Jacek Grzybowski, MD, LLC

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

CLIA number 31D2176040 belongs to Jacek Grzybowski, MD, LLC in Linden, NJ.

Certificate of Waiver, effective December 6, 2025, expires December 5, 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
December 6, 2025
Certificate expiration
December 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 6, 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
31D2176040
Lab name
Jacek Grzybowski, MD, LLC
Address
812 N Wood Avenue, Suite 204, Linden, NJ 07036
Phone
(908) 587-9611
Fax
(973) 925-4748

Annual test volume the lab reported

Waived tests
500

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

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Related

Questions

What is the CLIA number for Jacek Grzybowski, MD, LLC in Linden?

31D2176040, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jacek Grzybowski, MD, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2176040 expire?

The CMS file lists December 5, 2027 as the certificate expiration date; the certificate took effect December 6, 2025.

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