31D2316151 CLIA NUMBER - ATLANTIC MEDICAL GROUP DBA ACOHA

Laboratory Demographics

  • CLIA Code: 31D2316151
  • Facility Name: ATLANTIC MEDICAL GROUP DBA ACOHA
  • Facility Address: 901 WEST MAIN ST
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 973 379-2111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MAITHILI RAO
  • NPI Number: 1639254766
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2316151
LAB Type Physician Office
Facility Name ATLANTIC MEDICAL GROUP DBA ACOHA
Street 901 WEST MAIN ST
City FREEHOLD
State NJ
ZIP 07728
Phone 973 379-2111
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director MAITHILI RAO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025