31D1076821 CLIA NUMBER - MERIDIAN MEDICAL GROUP PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 31D1076821
  • Facility Name: MERIDIAN MEDICAL GROUP PRIMARY CARE PC
  • Facility Address: 27 SOUTH COOKS BRIDGE ROAD, ST 2-1
    JACKSON, NJ
    ZIP 08527
  • Facility Phone: 732 367-0166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT DRUCKMAN
  • NPI Number: 1477955037
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D1076821
LAB Type Physician Office
Facility Name MERIDIAN MEDICAL GROUP PRIMARY CARE PC
Street 27 SOUTH COOKS BRIDGE ROAD, ST 2-1
City JACKSON
State NJ
ZIP 08527
Phone 732 367-0166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type Physician Office
Lab Director SCOTT DRUCKMAN

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