07D1029657 CLIA NUMBER - EDWARD BERMAN, MD

Laboratory Demographics

  • CLIA Code: 07D1029657
  • Facility Name: EDWARD BERMAN, MD
  • Facility Address: 30 PROSPECT ST, SUITE 500
    RIDGEFIELD, CT
    ZIP 06877
  • Facility Phone: 203 438-0364
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD R. BERMAN, MD
  • NPI Number: 1326082538
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D1029657
LAB Type Physician Office
Facility Name EDWARD BERMAN, MD
Street 30 PROSPECT ST, SUITE 500
City RIDGEFIELD
State CT
ZIP 06877
Phone 203 438-0364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director EDWARD R. BERMAN, MD

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