15D0964741 CLIA NUMBER - WENG PENG MD

Laboratory Demographics

  • CLIA Code: 15D0964741
  • Facility Name: WENG PENG MD
  • Facility Address: 3641 RIDGE RD STE 5
    HIGHLAND, IN
    ZIP 46322
  • Facility Phone: 219 972-3811
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WENG PENG
  • NPI Number: 1336257567
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D0964741
LAB Type Physician Office
Facility Name WENG PENG MD
Street 3641 RIDGE RD STE 5
City HIGHLAND
State IN
ZIP 46322
Phone 219 972-3811
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 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director WENG PENG

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