33D0973826 CLIA NUMBER - ISABELLE PONGE WILSON MD PC

Laboratory Demographics

  • CLIA Code: 33D0973826
  • Facility Name: ISABELLE PONGE WILSON MD PC
  • Facility Address: 50 PARK AVENUE SUITE 1H
    NEW YORK, NY
    ZIP 10016
  • Facility Phone: 212 679-4134
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ISABELLE PONGE WILSON
  • NPI Number: 1831278878
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 33D0973826
LAB Type Physician Office
Facility Name ISABELLE PONGE WILSON MD PC
Street 50 PARK AVENUE SUITE 1H
City NEW YORK
State NY
ZIP 10016
Phone 212 679-4134
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director DR. ISABELLE PONGE WILSON

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