31D2141653 CLIA NUMBER - FIVE STAR PREMIER RESIDENCES OF TEANECK

Laboratory Demographics

  • CLIA Code: 31D2141653
  • Facility Name: FIVE STAR PREMIER RESIDENCES OF TEANECK
  • Facility Address: 655 POMANDER WALK
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 836-3634
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEAN YAMAMOTO
  • NPI Number: 1265737316
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2141653
LAB Type Assisted Living Facility
Facility Name FIVE STAR PREMIER RESIDENCES OF TEANECK
Street 655 POMANDER WALK
City TEANECK
State NJ
ZIP 07666
Phone 201 836-3634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Assisted Living Facility
Lab Director JEAN YAMAMOTO

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