21D2169810 CLIA NUMBER - CHESAPEAKE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 21D2169810
  • Facility Name: CHESAPEAKE WELLNESS CENTER
  • Facility Address: 818 HIGH STREET
    CHESTERTOWN, MD
    ZIP 21620
  • Facility Phone: 410 275-8156
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL KATZ
  • NPI Number: 1285221093
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2169810
LAB Type Physician Office
Facility Name CHESAPEAKE WELLNESS CENTER
Street 818 HIGH STREET
City CHESTERTOWN
State MD
ZIP 21620
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 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director PAUL KATZ

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