23D0688196 CLIA NUMBER - PATRICK A WEGMAN MD

Laboratory Demographics

  • CLIA Code: 23D0688196
  • Facility Name: PATRICK A WEGMAN MD
  • Facility Address: 802 W KING, SUITE H
    OWOSSO, MI
    ZIP 48867
  • Facility Phone: 989 723-8281
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK A. WEGMAN
  • NPI Number: 1962426205
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0688196
LAB Type Physician Office
Facility Name PATRICK A WEGMAN MD
Street 802 W KING, SUITE H
City OWOSSO
State MI
ZIP 48867
Phone 989 723-8281
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PATRICK A. WEGMAN

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