31D2218695 CLIA NUMBER - TEAM MD SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 31D2218695
  • Facility Name: TEAM MD SURGERY CENTER, LLC
  • Facility Address: 1167 MCBRIDE AVE SUITE 4
    WOODLAND PARK, NJ
    ZIP 07424
  • Facility Phone: 973 567-4162
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KANDRA M. ARUN
  • NPI Number: 1477153237
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2218695
LAB Type Ambulatory Surgery Center
Facility Name TEAM MD SURGERY CENTER, LLC
Street 1167 MCBRIDE AVE SUITE 4
City WOODLAND PARK
State NJ
ZIP 07424
Phone 973 567-4162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Ambulatory Surgery Center
Lab Director KANDRA M. ARUN

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