31D1057207 CLIA NUMBER - MID-ATLANTIC MULTI SPECIALTY SURGICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 31D1057207
  • Facility Name: MID-ATLANTIC MULTI SPECIALTY SURGICAL GROUP LLC
  • Facility Address: 2356 ROUTE 9 SOUTH SUITE B6
    HOWELL, NJ
    ZIP 07731
  • Facility Phone: 732 886-2252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VANCE J. MOSS
  • NPI Number: 1508891417
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D1057207
LAB Type Physician Office
Facility Name MID-ATLANTIC MULTI SPECIALTY SURGICAL GROUP LLC
Street 2356 ROUTE 9 SOUTH SUITE B6
City HOWELL
State NJ
ZIP 07731
Phone 732 886-2252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director VANCE J. MOSS

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