39D0204924 CLIA NUMBER - BERKS PEDIATRIC LTD

Laboratory Demographics

  • CLIA Code: 39D0204924
  • Facility Name: BERKS PEDIATRIC LTD
  • Facility Address: 555 RAYMOND STREET
    READING, PA
    ZIP 19605
  • Facility Phone: 610 921-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GOPALAN SRIDHAR MD
  • NPI Number: 1013082544
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 39D0204924
LAB Type Physician Office
Facility Name BERKS PEDIATRIC LTD
Street 555 RAYMOND STREET
City READING
State PA
ZIP 19605
Phone 610 921-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director GOPALAN SRIDHAR MD

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