31D0124564 CLIA NUMBER - MERIDIAN MEDICAL GROUP - SPECIALTY CARE PC

Laboratory Demographics

  • CLIA Code: 31D0124564
  • Facility Name: MERIDIAN MEDICAL GROUP - SPECIALTY CARE PC
  • Facility Address: 2 LINCOLN HWY SUITE 301
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 908 549-7380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY Z. WOLF
  • NPI Number: 1235150244
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0124564
LAB Type Physician Office
Facility Name MERIDIAN MEDICAL GROUP - SPECIALTY CARE PC
Street 2 LINCOLN HWY SUITE 301
City EDISON
State NJ
ZIP 08820
Phone 908 549-7380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BARRY Z. WOLF

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