05D0603800 CLIA NUMBER - RONALD H BERMAN, MD

Laboratory Demographics

  • CLIA Code: 05D0603800
  • Facility Name: RONALD H BERMAN, MD
  • Facility Address: 2023 VALE RD SUITE 110
    SAN PABLO, CA
    ZIP 94806
  • Facility Phone: 510 235-1723
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD H. BERMAN, MD
  • NPI Number: 1700967361
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0603800
LAB Type Physician Office
Facility Name RONALD H BERMAN, MD
Street 2023 VALE RD SUITE 110
City SAN PABLO
State CA
ZIP 94806
Phone 510 235-1723
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 RONALD H. BERMAN, MD

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