31D1096761 CLIA NUMBER - ATLANTIC MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 31D1096761
  • Facility Name: ATLANTIC MEDICAL GROUP
  • Facility Address: 16 EDEN LANE
    WHIPPANY, NJ
    ZIP 07981
  • Facility Phone: 973 240-2170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PERRY SUTARIA
  • NPI Number: 1205968633
  • Taxonomy: 207XX0801X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D1096761
LAB Type Physician Office
Facility Name ATLANTIC MEDICAL GROUP
Street 16 EDEN LANE
City WHIPPANY
State NJ
ZIP 07981
Phone 973 240-2170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director PERRY SUTARIA

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