31D2058608 CLIA NUMBER - RODOLFO MALDONADO MD LLC

Laboratory Demographics

  • CLIA Code: 31D2058608
  • Facility Name: RODOLFO MALDONADO MD LLC
  • Facility Address: 408 NEW BRUNSWICK AVE
    FORDS, NJ
    ZIP 08863
  • Facility Phone: (732) 826-1609
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODOLFO MALDONADO
  • NPI Number: 1093823668
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2058608
LAB Type Physician Office
Facility Name RODOLFO MALDONADO MD LLC
Street 408 NEW BRUNSWICK AVE
City FORDS
State NJ
ZIP 08863
Phone 7328261609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director RODOLFO MALDONADO

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