33D2266821 CLIA NUMBER - JACQUELINE PONTICIELLO PSYCHIATRIC NP, PLLC ASPECT PSYCHIATRIC SERVICES

Laboratory Demographics

  • CLIA Code: 33D2266821
  • Facility Name: JACQUELINE PONTICIELLO PSYCHIATRIC NP, PLLC ASPECT PSYCHIATRIC SERVICES
  • Facility Address: 1901 VESTAL PARKWAY EAST, SUITE 2W
    VESTAL, NY
    ZIP 13850
  • Facility Phone: 607 341-4950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE A. PONTICELLO
  • NPI Number: 1982328068
  • Taxonomy: 1835P0018X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 33D2266821
LAB Type Physician Office
Facility Name JACQUELINE PONTICIELLO PSYCHIATRIC NP, PLLC ASPECT PSYCHIATRIC SERVICES
Street 1901 VESTAL PARKWAY EAST, SUITE 2W
City VESTAL
State NY
ZIP 13850
Phone 607 341-4950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director JACQUELINE A. PONTICELLO

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