31D2183677 CLIA NUMBER - TEAM MANAGEMENT 2000, INC

Laboratory Demographics

  • CLIA Code: 31D2183677
  • Facility Name: TEAM MANAGEMENT 2000, INC
  • Facility Address: 84 MAIN ST
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 201 487-4700
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: AVA FAUSTIN
  • NPI Number: 1962938316
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2183677
LAB Type Mobile Laboratory
Facility Name TEAM MANAGEMENT 2000, INC
Street 84 MAIN ST
City HACKENSACK
State NJ
ZIP 07601
Phone 201 487-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Mobile Laboratory
Lab Director AVA FAUSTIN

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