23D2286195 CLIA NUMBER - PORRETTA & BERGMAN MD, PC

Laboratory Demographics

  • CLIA Code: 23D2286195
  • Facility Name: PORRETTA & BERGMAN MD, PC
  • Facility Address: 2300 HAGGERTY SUITE 1100
    WEST BLOOMFIELD, MI
    ZIP 48323
  • Facility Phone: 248 538-6463
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD H. BERGMAN
  • NPI Number: 1487782785
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D2286195
LAB Type Physician Office
Facility Name PORRETTA & BERGMAN MD, PC
Street 2300 HAGGERTY SUITE 1100
City WEST BLOOMFIELD
State MI
ZIP 48323
Phone 248 538-6463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director RONALD H. BERGMAN

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