31D2013974 CLIA NUMBER - MERIDIAN MEDICAL GROUP - SPECIALTY CARE PC

Laboratory Demographics

  • CLIA Code: 31D2013974
  • Facility Name: MERIDIAN MEDICAL GROUP - SPECIALTY CARE PC
  • Facility Address: 514 BANGS AVENUE
    ASBURY PARK, NJ
    ZIP 07712
  • Facility Phone: 732 774-0200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GARLAND E. HERRON
  • NPI Number: 1770836025
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2013974
LAB Type Physician Office
Facility Name MERIDIAN MEDICAL GROUP - SPECIALTY CARE PC
Street 514 BANGS AVENUE
City ASBURY PARK
State NJ
ZIP 07712
Phone 732 774-0200
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 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director GARLAND E. HERRON

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