21D2129499 CLIA NUMBER - CHESAPEAKE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 21D2129499
  • Facility Name: CHESAPEAKE WELLNESS CENTER
  • Facility Address: 105 E MAIN STREET
    ELKTON, MD
    ZIP 21921
  • Facility Phone: 410 275-8156
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL M. KATZ
  • NPI Number: 1902494024
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2129499
LAB Type Physician Office
Facility Name CHESAPEAKE WELLNESS CENTER
Street 105 E MAIN STREET
City ELKTON
State MD
ZIP 21921
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 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director PAUL M. KATZ

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