CLIA lab
CLIA 31D2195398: Angelic Primary Medicine LLC
Wenonah, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D2195398 belongs to Angelic Primary Medicine LLC in Wenonah, NJ.
Certificate of Waiver, effective October 8, 2024, expiration date October 7, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 8, 2024
- Certificate expiration
- October 7, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 8, 2020
- Facility type
- Other practitioner
- 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
- 31D2195398
- Lab name
- Angelic Primary Medicine LLC
- Address
- 1050 Mantua Pike, First Floor, Wenonah, NJ 08090
- Phone
- (609) 822-7979
- Fax
- (609) 822-7980
Annual test volume the lab reported
- Waived tests
- 25
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 Angelic Primary Medicine LLC in Wenonah?
31D2195398, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Angelic Primary Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D2195398 expire?
The CMS file lists October 7, 2026 as the certificate expiration date; the certificate took effect October 8, 2024.