07D0092181 CLIA NUMBER - ROY KELLERMAN MD

Laboratory Demographics

  • CLIA Code: 07D0092181
  • Facility Name: ROY KELLERMAN MD
  • Facility Address: 35 JOLLEY RD, SUITE 201
    BLOOMFIELD, CT
    ZIP 06002
  • Facility Phone: 860 243-5569
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY A. KELLERMAN MD
  • NPI Number: 1083780605
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 07D0092181
LAB Type Physician Office
Facility Name ROY KELLERMAN MD
Street 35 JOLLEY RD, SUITE 201
City BLOOMFIELD
State CT
ZIP 06002
Phone 860 243-5569
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 ROY A. KELLERMAN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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