33D2014049 CLIA NUMBER - NEIL S GOLDBERG

Laboratory Demographics

  • CLIA Code: 33D2014049
  • Facility Name: NEIL S GOLDBERG
  • Facility Address: 77 PONDFIELD ROAD 2ND FLOOR
    BRONXVILLE, NY
    ZIP 10708
  • Facility Phone: 914 337-4499
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. NEIL S. GOLDBERG
  • NPI Number: 1831272269
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D2014049
LAB Type Physician Office
Facility Name NEIL S GOLDBERG
Street 77 PONDFIELD ROAD 2ND FLOOR
City BRONXVILLE
State NY
ZIP 10708
Phone 914 337-4499
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 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director DR. NEIL S. GOLDBERG

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This page was last updated on: 3/20/2025