31D0725085 CLIA NUMBER - HACKENSACK MERIDIAN MEDICAL GROUP - PRIMECARE MEDICAL GROUP, THE

Laboratory Demographics

  • CLIA Code: 31D0725085
  • Facility Name: HACKENSACK MERIDIAN MEDICAL GROUP - PRIMECARE MEDICAL GROUP, THE
  • Facility Address: 69 ROUTE 27
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 908 494-3220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL A. BLUM
  • NPI Number: 1386646016
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0725085
LAB Type Physician Office
Facility Name HACKENSACK MERIDIAN MEDICAL GROUP - PRIMECARE MEDICAL GROUP, THE
Street 69 ROUTE 27
City EDISON
State NJ
ZIP 08820
Phone 908 494-3220
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 PAUL A. BLUM

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