05D2054185 CLIA NUMBER - WEIMAR MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2054185
  • Facility Name: WEIMAR MEDICAL GROUP INC
  • Facility Address: 13300 NEW AIRPORT RD STE 100
    AUBURN, CA
    ZIP 95602
  • Facility Phone: 530 823-5000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAJA TOOMA
  • NPI Number: 1821349465
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2054185
LAB Type Physician Office
Facility Name WEIMAR MEDICAL GROUP INC
Street 13300 NEW AIRPORT RD STE 100
City AUBURN
State CA
ZIP 95602
Phone 530 823-5000
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 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director RAJA TOOMA

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This page was last updated on: 6/4/2025