31D2228413 CLIA NUMBER - MD MEDICAL GROUP

Laboratory Demographics

CLIA Number: 31D2228413

Facility Name: MD MEDICAL GROUP

Facility Address:
68 FIRST AVE, SUITE F
ATLANTIC HIGHLANDS, NJ
ZIP 07716
Get Directions

Facility Phone Number: 309 665-0206

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1982280426

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	31D2228413
LAB Type	Independent
Facility Name	MD MEDICAL GROUP
Street	68 FIRST AVE, SUITE F
City	ATLANTIC HIGHLANDS
State	NJ
ZIP	07716
Phone	309 665-0206
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024