31D2162756 CLIA NUMBER - MERIDIAN MEDICAL GROUP PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 31D2162756
  • Facility Name: MERIDIAN MEDICAL GROUP PRIMARY CARE PC
  • Facility Address: 1 ROUTE 70 STE 1
    LAKEWOOD, NJ
    ZIP 08701
  • Facility Phone: 732 367-8272
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAWRENCE GRILL
  • NPI Number: 1497387203
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 31D2162756
LAB Type Physician Office
Facility Name MERIDIAN MEDICAL GROUP PRIMARY CARE PC
Street 1 ROUTE 70 STE 1
City LAKEWOOD
State NJ
ZIP 08701
Phone 732 367-8272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director DR. LAWRENCE GRILL

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