31D0115011 CLIA NUMBER - HACKENSACK MERIDIAN HEALTH MEDICAL GROUP- PRIMARY CARE, PC

Laboratory Demographics

  • CLIA Code: 31D0115011
  • Facility Name: HACKENSACK MERIDIAN HEALTH MEDICAL GROUP- PRIMARY CARE, PC
  • Facility Address: 1944 ROUTE 33, SUITE 204
    NEPTUNE, NJ
    ZIP 07753
  • Facility Phone: (732) 455-8559
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERNARD ADLER
  • NPI Number: 1154379626
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0115011
LAB Type Physician Office
Facility Name HACKENSACK MERIDIAN HEALTH MEDICAL GROUP- PRIMARY CARE, PC
Street 1944 ROUTE 33, SUITE 204
City NEPTUNE
State NJ
ZIP 07753
Phone 7324558559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director BERNARD ADLER

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This page was last updated on: 5/18/2026