45D0480207 CLIA NUMBER - BERGMAN PEDIATRICS , PA

Laboratory Demographics

  • CLIA Code: 45D0480207
  • Facility Name: BERGMAN PEDIATRICS , PA
  • Facility Address: 7777 FOREST LANE SUITE B224
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 972 566-7696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY E. BERGMAN
  • NPI Number: 1407912710
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0480207
LAB Type Physician Office
Facility Name BERGMAN PEDIATRICS , PA
Street 7777 FOREST LANE SUITE B224
City DALLAS
State TX
ZIP 75230
Phone 972 566-7696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director BARRY E. BERGMAN

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