31D2092052 CLIA NUMBER - MERIDIAN MEDICAL GROUP PRIMARY CARE, PC

Laboratory Demographics

  • CLIA Code: 31D2092052
  • Facility Name: MERIDIAN MEDICAL GROUP PRIMARY CARE, PC
  • Facility Address: 579 CRANBURY ROAD SUITE A
    EAST BRUNSWICK, NJ
    ZIP 08816
  • Facility Phone: 732 238-6800
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: OFER WERTHAIM
  • NPI Number: 1144765140
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 31D2092052
LAB Type Practitioner Other
Facility Name MERIDIAN MEDICAL GROUP PRIMARY CARE, PC
Street 579 CRANBURY ROAD SUITE A
City EAST BRUNSWICK
State NJ
ZIP 08816
Phone 732 238-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Practitioner Other
Lab Director OFER WERTHAIM

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