07D0678961 CLIA NUMBER - ROBERT P GOLDBERG MD

Laboratory Demographics

  • CLIA Code: 07D0678961
  • Facility Name: ROBERT P GOLDBERG MD
  • Facility Address: 22 W MAIN ST
    NIANTIC, CT
    ZIP 06357
  • Facility Phone: 203 739-4431
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT P. GOLDBERG MD
  • NPI Number: 1003809096
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0678961
LAB Type Physician Office
Facility Name ROBERT P GOLDBERG MD
Street 22 W MAIN ST
City NIANTIC
State CT
ZIP 06357
Phone 203 739-4431
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 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director ROBERT P. GOLDBERG MD

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