31D1083102 CLIA NUMBER - ATLANTIC MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 31D1083102
  • Facility Name: ATLANTIC MEDICAL GROUP
  • Facility Address: 3 PROGRESS STREET SUITE 107
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 732 382-0091
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CARL S. GOLDSTEIN
  • NPI Number: 1073796629
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D1083102
LAB Type Physician Office
Facility Name ATLANTIC MEDICAL GROUP
Street 3 PROGRESS STREET SUITE 107
City EDISON
State NJ
ZIP 08820
Phone 732 382-0091
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director CARL S. GOLDSTEIN

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