36D2124432 CLIA NUMBER - AMY R WEIDMAN MD LLC

Laboratory Demographics

  • CLIA Code: 36D2124432
  • Facility Name: AMY R WEIDMAN MD LLC
  • Facility Address: 3610 W MARKET ST, SUITE 108
    FAIRLAWN, OH
    ZIP 44333
  • Facility Phone: 330 836-2828
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY R. WEIDMAN
  • NPI Number: 1770022089
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2124432
LAB Type Physician Office
Facility Name AMY R WEIDMAN MD LLC
Street 3610 W MARKET ST, SUITE 108
City FAIRLAWN
State OH
ZIP 44333
Phone 330 836-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director AMY R. WEIDMAN

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