CLIA lab
CLIA 31D2286005: Executive Medicine PC
Hazlet, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D2286005 belongs to Executive Medicine PC in Hazlet, NJ.
Certificate of Waiver, effective July 21, 2025, expires July 20, 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
- July 21, 2025
- Certificate expiration
- July 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 21, 2023
- 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
- 31D2286005
- Lab name
- Executive Medicine PC
- Address
- 44 Village Court, Hazlet, NJ 07730
- Phone
- (732) 392-7200
- Fax
- (732) 402-8961
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Antonios Tsompanidis DO PCCertificate of Waiver, Physician office31D0967359
- Arnold Walter Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility31D0937547
- Bethany PediatricsCertificate of Waiver, Physician office31D0114475
- Blue Star Recovery LLCCertificate of Waiver, Other31D2274314
- Chapel Hill Family MedicineCertificate of Waiver, Physician office31D0882663
- Hackensack Meridian Living at HolmdelCertificate of Waiver, Assisted living facility31D2239834
- Hackensack Meridian Urgent Care PCCertificate of Waiver, Other31D2301644
- Hazlet Medical Services, LLCCertificate of Waiver, Physician office31D2110759
- Hazlet Pharmacy IncCertificate of Waiver, Pharmacy31D2185187
Related
Questions
What is the CLIA number for Executive Medicine PC in Hazlet?
31D2286005, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Executive Medicine PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D2286005 expire?
The CMS file lists July 20, 2027 as the certificate expiration date; the certificate took effect July 21, 2025.