31D0958882 CLIA NUMBER - GLEN W BERGER MD PA

Laboratory Demographics

  • CLIA Code: 31D0958882
  • Facility Name: GLEN W BERGER MD PA
  • Facility Address: 110 WARREN AVENUE SUITE 5
    HO HO KUS, NJ
    ZIP 07423
  • Facility Phone: 201 505-9400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLEN W. BERGER
  • NPI Number: 1285697201
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0958882
LAB Type Physician Office
Facility Name GLEN W BERGER MD PA
Street 110 WARREN AVENUE SUITE 5
City HO HO KUS
State NJ
ZIP 07423
Phone 201 505-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director GLEN W. BERGER

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