21D0966401 CLIA NUMBER - VINCENT P WROBLEWSKI MD PA

Laboratory Demographics

  • CLIA Code: 21D0966401
  • Facility Name: VINCENT P WROBLEWSKI MD PA
  • Facility Address: 1623 BELLONA AVENUE
    LUTHERVILLE, MD
    ZIP 21093
  • Facility Phone: 410 252-4406
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VINCENT P. WROBLEWSKI MD
  • NPI Number: 1780676775
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0966401
LAB Type Physician Office
Facility Name VINCENT P WROBLEWSKI MD PA
Street 1623 BELLONA AVENUE
City LUTHERVILLE
State MD
ZIP 21093
Phone 410 252-4406
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 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director VINCENT P. WROBLEWSKI MD

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