31D0102988 CLIA NUMBER - RICHARD L PODKUL MD

Laboratory Demographics

  • CLIA Code: 31D0102988
  • Facility Name: RICHARD L PODKUL MD
  • Facility Address: 1064 BROAD STREET
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: (973) 893-0282
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD L. PODKUL
  • NPI Number: 1083625693
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0102988
LAB Type Physician Office
Facility Name RICHARD L PODKUL MD
Street 1064 BROAD STREET
City BLOOMFIELD
State NJ
ZIP 07003
Phone 9738930282
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 RICHARD L. PODKUL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026