34D2136524 CLIA NUMBER - LARRY F BERMAN, MD PC

Laboratory Demographics

  • CLIA Code: 34D2136524
  • Facility Name: LARRY F BERMAN, MD PC
  • Facility Address: 10620 PARK ROAD, SUITE 128
    CHARLOTTE, NC
    ZIP 28210
  • Facility Phone: 704 542-6111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARRY F. BERMAN
  • NPI Number: 1508869835
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2136524
LAB Type Physician Office
Facility Name LARRY F BERMAN, MD PC
Street 10620 PARK ROAD, SUITE 128
City CHARLOTTE
State NC
ZIP 28210
Phone 704 542-6111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director LARRY F. BERMAN

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