10D0723956 CLIA NUMBER - RONY PORUDOMINSKY MD

Laboratory Demographics

  • CLIA Code: 10D0723956
  • Facility Name: RONY PORUDOMINSKY MD
  • Facility Address: 9750 NW 33RD STREET #208
    CORAL SPRINGS, FL
    ZIP 33065
  • Facility Phone: 954 341-3699
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONY PORUDOMINSKY
  • NPI Number: 1639119506
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0723956
LAB Type Physician Office
Facility Name RONY PORUDOMINSKY MD
Street 9750 NW 33RD STREET #208
City CORAL SPRINGS
State FL
ZIP 33065
Phone 954 341-3699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RONY PORUDOMINSKY

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