31D2252699 CLIA NUMBER - MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC

Laboratory Demographics

  • CLIA Code: 31D2252699
  • Facility Name: MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC
  • Facility Address: 1610 ROUTE 88 SUITE 203
    BRICK, NJ
    ZIP 08724
  • Facility Phone: 732 212-6212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE SANSONE
  • NPI Number: 1144688755
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2252699
LAB Type Physician Office
Facility Name MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC
Street 1610 ROUTE 88 SUITE 203
City BRICK
State NJ
ZIP 08724
Phone 732 212-6212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director STEPHANIE SANSONE

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