05D0910540 CLIA NUMBER - BRUCE I LERMAN, DPM, INC

Laboratory Demographics

  • CLIA Code: 05D0910540
  • Facility Name: BRUCE I LERMAN, DPM, INC
  • Facility Address: 555 KNOWLES DR, #117
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 292-8800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRUCE I. LERMAN
  • NPI Number: 1033434204
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 05D0910540
LAB Type Physician Office
Facility Name BRUCE I LERMAN, DPM, INC
Street 555 KNOWLES DR, #117
City LOS GATOS
State CA
ZIP 95032
Phone 408 292-8800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director BRUCE I. LERMAN

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This page was last updated on: 3/20/2025