31D2067714 CLIA NUMBER - MERIDIAN MEDICAL ASSOCIATES - FP

Laboratory Demographics

  • CLIA Code: 31D2067714
  • Facility Name: MERIDIAN MEDICAL ASSOCIATES - FP
  • Facility Address: 19 DAVIS AVE 5TH FLOOR
    NEPTUNE, NJ
    ZIP 07753
  • Facility Phone: 732 776-4775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAUREEN A. MAZZACCARO
  • NPI Number: 1740730217
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 31D2067714
LAB Type Physician Office
Facility Name MERIDIAN MEDICAL ASSOCIATES - FP
Street 19 DAVIS AVE 5TH FLOOR
City NEPTUNE
State NJ
ZIP 07753
Phone 732 776-4775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director MAUREEN A. MAZZACCARO

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