10D1065956 CLIA NUMBER - LAWRENCE BERGMAN MD LLC

Laboratory Demographics

  • CLIA Code: 10D1065956
  • Facility Name: LAWRENCE BERGMAN MD LLC
  • Facility Address: 10115 W FOREST HILL BOULEVARD STE 303
    WELLINGTON, FL
    ZIP 33414
  • Facility Phone: (561) 798-5565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE R. BERGMAN
  • NPI Number: 1073518130
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1065956
LAB Type Physician Office
Facility Name LAWRENCE BERGMAN MD LLC
Street 10115 W FOREST HILL BOULEVARD STE 303
City WELLINGTON
State FL
ZIP 33414
Phone 5617985565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director LAWRENCE R. BERGMAN

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: 5/18/2026