31D2187380 CLIA NUMBER - VANTAGE HEATH SYSTEM

Laboratory Demographics

  • CLIA Code: 31D2187380
  • Facility Name: VANTAGE HEATH SYSTEM
  • Facility Address: 93 WEST PALISADE AVE
    ENGLEWOOD, NJ
    ZIP 07631
  • Facility Phone: 201 385-4400
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: TERESA MCMAHON
  • NPI Number: 1891377503
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 31D2187380
LAB Type Other - BEHAVIORAL HEALTH
Facility Name VANTAGE HEATH SYSTEM
Street 93 WEST PALISADE AVE
City ENGLEWOOD
State NJ
ZIP 07631
Phone 201 385-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other - BEHAVIORAL HEALTH
Lab Director TERESA MCMAHON

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