CLIA lab
CLIA 31D2304361: Ivy Pediatrics, PA
River Edge, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D2304361 belongs to Ivy Pediatrics, PA in River Edge, NJ.
Certificate of Waiver, effective May 13, 2026, expires May 12, 2028.
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
- May 13, 2026
- Certificate expiration
- May 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 2024
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 31D2304361
- Lab name
- Ivy Pediatrics, PA
- Address
- 130 Kinderkamack Rd, Suite 205, River Edge, NJ 07661
- Phone
- (201) 634-1004
- Fax
- (201) 634-1028
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in River Edge, NJ
- Allergy & ImmunologyCertificate of Waiver, Physician office31D0112857
- Edward L Hedlund MDCertificate of Waiver, Physician office31D0112842
- Evergreen Medical GroupCertificate of Waiver, Physician office31D2321162
- Gastroenterology Associates of New Jersey, LLCCertificate of Waiver, Physician office31D0704046
- Silvia Daici MD LLCCertificate of Waiver, Physician office31D2279551
Related
Questions
What is the CLIA number for Ivy Pediatrics, PA in River Edge?
31D2304361, 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 31D2304361 expire?
The CMS file lists May 12, 2028 as the certificate expiration date; the certificate took effect May 13, 2026.