21D0910244 CLIA NUMBER - JOSEPH K WEIDNER JR MD LLC

Laboratory Demographics

  • CLIA Code: 21D0910244
  • Facility Name: JOSEPH K WEIDNER JR MD LLC
  • Facility Address: 101 COLONIAL WAY SUITE A
    RISING SUN, MD
    ZIP 21911
  • Facility Phone: 410 658-6696
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH K. WEIDNER
  • NPI Number: 1659367829
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0910244
LAB Type Physician Office
Facility Name JOSEPH K WEIDNER JR MD LLC
Street 101 COLONIAL WAY SUITE A
City RISING SUN
State MD
ZIP 21911
Phone 410 658-6696
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 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director JOSEPH K. WEIDNER

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