22D0869076 CLIA NUMBER - WIEGANDT LABORATORY

Laboratory Demographics

  • CLIA Code: 22D0869076
  • Facility Name: WIEGANDT LABORATORY
  • Facility Address: 2621 CRANBERRY HWY
    WAREHAM, MA
    ZIP 02571
  • Facility Phone: 508 295-4902
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LIZBETH ESTES
  • NPI Number: 1306133475
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 22D0869076
LAB Type Physician Office
Facility Name WIEGANDT LABORATORY
Street 2621 CRANBERRY HWY
City WAREHAM
State MA
ZIP 02571
Phone 508 295-4902
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 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director LIZBETH ESTES

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