47D0947567 CLIA NUMBER - CRAIG E GOLDBERG DO

Laboratory Demographics

  • CLIA Code: 47D0947567
  • Facility Name: CRAIG E GOLDBERG DO
  • Facility Address: 1027 WESTERN AVENUE PO BOX 2388
    BRATTLEBORO, VT
    ZIP 05301
  • Facility Phone: 802 254-4545
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CRAIG E. GOLDBERG
  • NPI Number: 1205862372
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 47D0947567
LAB Type Physician Office
Facility Name CRAIG E GOLDBERG DO
Street 1027 WESTERN AVENUE PO BOX 2388
City BRATTLEBORO
State VT
ZIP 05301
Phone 802 254-4545
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 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director CRAIG E. GOLDBERG

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