CLIA lab

CLIA 31D2204684: Valley Oral & Maxillofacial Surgery, PA

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

CLIA number 31D2204684 belongs to Valley Oral & Maxillofacial Surgery, PA in Hawthorne, NJ.

Certificate of Waiver, effective December 10, 2024, expires December 9, 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
December 10, 2024
Certificate expiration
December 9, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 10, 2020
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
31D2204684
Lab name
Valley Oral & Maxillofacial Surgery, PA
Address
286 Lafayette Avenue, Hawthorne, NJ 07506
Phone
(973) 636-9660
Fax
(973) 636-9662

Annual test volume the lab reported

Waived tests
100

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 Valley Oral & Maxillofacial Surgery, PA in Hawthorne?

31D2204684, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Valley Oral & Maxillofacial Surgery, PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2204684 expire?

The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.

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