21D1024274 CLIA NUMBER - CHESAPEAKE WELLNESS CENTER/ PAUL KATZ, DO

Laboratory Demographics

  • CLIA Code: 21D1024274
  • Facility Name: CHESAPEAKE WELLNESS CENTER/ PAUL KATZ, DO
  • Facility Address: 251 SOUTH BOHEMIA AVENUE
    CECILTON, MD
    ZIP 21913
  • Facility Phone: 410 275-8156
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL M. KATZ DO
  • NPI Number: 1083163307
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1024274
LAB Type Physician Office
Facility Name CHESAPEAKE WELLNESS CENTER/ PAUL KATZ, DO
Street 251 SOUTH BOHEMIA AVENUE
City CECILTON
State MD
ZIP 21913
Phone 410 275-8156
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 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director PAUL M. KATZ DO

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