34D1036421 CLIA NUMBER - BRYAN WECKEL MD FAMILY MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 34D1036421
  • Facility Name: BRYAN WECKEL MD FAMILY MEDICINE PLLC
  • Facility Address: 310 SOUTH BENNETT STREET
    BURGAW, NC
    ZIP 28425
  • Facility Phone: 910 259-1718
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRYAN M. WECKEL MD
  • NPI Number: 1508877952
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1036421
LAB Type Physician Office
Facility Name BRYAN WECKEL MD FAMILY MEDICINE PLLC
Street 310 SOUTH BENNETT STREET
City BURGAW
State NC
ZIP 28425
Phone 910 259-1718
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 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director BRYAN M. WECKEL MD

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