21D2091739 CLIA NUMBER - ATLANTIC GENERAL PRIMARY CARE AND PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2091739
  • Facility Name: ATLANTIC GENERAL PRIMARY CARE AND PEDIATRICS
  • Facility Address: 12308 OCEAN GATEWAY, UNIT 1
    OCEAN CITY, MD
    ZIP 21842
  • Facility Phone: 410 641-9362
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUNNA GARG
  • NPI Number: 1861891368
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2091739
LAB Type Physician Office
Facility Name ATLANTIC GENERAL PRIMARY CARE AND PEDIATRICS
Street 12308 OCEAN GATEWAY, UNIT 1
City OCEAN CITY
State MD
ZIP 21842
Phone 410 641-9362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director MUNNA GARG

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This page was last updated on: 9/29/2025