21D2198912 CLIA NUMBER - WIENER AND DANIELS DPM PA

Laboratory Demographics

  • CLIA Code: 21D2198912
  • Facility Name: WIENER AND DANIELS DPM PA
  • Facility Address: 1202 ANNAPOLIS RD STE B
    ODENTON, MD
    ZIP 21113
  • Facility Phone: 410 363-4343
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GARRETT MULLINS
  • NPI Number: 1699952432
  • Taxonomy: 261QP1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2198912
LAB Type Physician Office
Facility Name WIENER AND DANIELS DPM PA
Street 1202 ANNAPOLIS RD STE B
City ODENTON
State MD
ZIP 21113
Phone 410 363-4343
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/30/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. GARRETT MULLINS

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