31D1087872 CLIA NUMBER - JAROSLAW S PONDO, MD, PC

Laboratory Demographics

  • CLIA Code: 31D1087872
  • Facility Name: JAROSLAW S PONDO, MD, PC
  • Facility Address: 71 UNION AVENUE, SUITE 107
    RUTHERFORD, NJ
    ZIP 07070
  • Facility Phone: 201 896-0050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAROSLAW S. PONDO, MD
  • NPI Number: 1487665717
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1087872
LAB Type Physician Office
Facility Name JAROSLAW S PONDO, MD, PC
Street 71 UNION AVENUE, SUITE 107
City RUTHERFORD
State NJ
ZIP 07070
Phone 201 896-0050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director JAROSLAW S. PONDO, MD

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