See 'WikiDevi' @ the Internet Archive (MW XML, Files, Images)
"MCL-E-67" is silkscreened on the board in the FCC photos.
Used with some Panasonic HDTVs and Blu-ray players. Many report the device as interchangeable with the Netgear WNDA3100 v2.
The device has two internal U.FL connectors. Assumed to use the BCM4323.
Possible additional OUI of 00:21:E8