CLIA lab

CLIA 31D2321162: Evergreen Medical Group

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

CLIA number 31D2321162 belongs to Evergreen Medical Group in River Edge, NJ.

Certificate of Waiver, effective March 31, 2025, expires March 30, 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
March 31, 2025
Certificate expiration
March 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 31, 2025
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
31D2321162
Lab name
Evergreen Medical Group
Address
887 Kinderkamack Road, River Edge, NJ 07661
Phone
(201) 464-0860
Fax
(888) 440-2752

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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Questions

What is the CLIA number for Evergreen Medical Group in River Edge?

31D2321162, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D2321162 expire?

The CMS file lists March 30, 2027 as the certificate expiration date; the certificate took effect March 31, 2025.

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