32D2071285 CLIA NUMBER - DONALD E WENNER III MD PC

Laboratory Demographics

  • CLIA Code: 32D2071285
  • Facility Name: DONALD E WENNER III MD PC
  • Facility Address: 1600 SE MAIN SUITE F
    ROSWELL, NM
    ZIP 88203
  • Facility Phone: 575 623-1980
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DONALD E. WENNER
  • NPI Number: 1144487281
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 32D2071285
LAB Type Physician Office
Facility Name DONALD E WENNER III MD PC
Street 1600 SE MAIN SUITE F
City ROSWELL
State NM
ZIP 88203
Phone 575 623-1980
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 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DR. DONALD E. WENNER

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