CLIA lab

CLIA 31D2200816: Ivy Pediatrics, PA

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

CLIA number 31D2200816 belongs to Ivy Pediatrics, PA in Holmdel, NJ.

Certificate of Waiver, effective November 17, 2024, expires November 16, 2026.

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
November 17, 2024
Certificate expiration
November 16, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 17, 2020
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
31D2200816
Lab name
Ivy Pediatrics, PA
Address
717 North Beers Street, Suite 1F, Holmdel, NJ 07733
Phone
(732) 888-0777
Fax
(732) 888-0880

Annual test volume the lab reported

Waived tests
2,000

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

Affiliated CLIA numbers

Other labs in Holmdel, NJ

Related

Questions

What is the CLIA number for Ivy Pediatrics, PA in Holmdel?

31D2200816, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ivy Pediatrics, PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2200816 expire?

The CMS file lists November 16, 2026 as the certificate expiration date; the certificate took effect November 17, 2024.

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