33D2196853 CLIA NUMBER - MARION J BERGMAN

Laboratory Demographics

  • CLIA Code: 33D2196853
  • Facility Name: MARION J BERGMAN
  • Facility Address: 845 UN PLAZA #87A
    NEW YORK, NY
    ZIP 10017
  • Facility Phone: 631 327-9281
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARION J. BERGMAN
  • NPI Number: 1194796458
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 33D2196853
LAB Type Physician Office
Facility Name MARION J BERGMAN
Street 845 UN PLAZA #87A
City NEW YORK
State NY
ZIP 10017
Phone 631 327-9281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director DR. MARION J. BERGMAN

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