31D2329588 CLIA NUMBER - TEAMMD AT MILLBURN, LLC

Laboratory Demographics

  • CLIA Code: 31D2329588
  • Facility Name: TEAMMD AT MILLBURN, LLC
  • Facility Address: 37 E. WILLOW ST
    MILLBURN, NJ
    ZIP 07041
  • Facility Phone: 973 912-8111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW SIM
  • NPI Number: 1811789753
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2329588
LAB Type Ambulatory Surgery Center
Facility Name TEAMMD AT MILLBURN, LLC
Street 37 E. WILLOW ST
City MILLBURN
State NJ
ZIP 07041
Phone 973 912-8111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ANDREW SIM

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