31D2253768 CLIA NUMBER - AMG PRIMARY CARE AT MANALAPAN

Laboratory Demographics

  • CLIA Code: 31D2253768
  • Facility Name: AMG PRIMARY CARE AT MANALAPAN
  • Facility Address: 21 US HIGHWAY 9
    MANALAPAN, NJ
    ZIP 07726
  • Facility Phone: 732 851-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACLYN N. GULIANO
  • NPI Number: 1417618893
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2253768
LAB Type Physician Office
Facility Name AMG PRIMARY CARE AT MANALAPAN
Street 21 US HIGHWAY 9
City MANALAPAN
State NJ
ZIP 07726
Phone 732 851-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director JACLYN N. GULIANO

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