CLIA lab

CLIA 39D0859621: J Eric Wieczorek MD

Sidman, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 39D0859621 belongs to J Eric Wieczorek MD in Sidman, PA.

Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 21, 1993
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
39D0859621
Lab name
J Eric Wieczorek MD
Address
456 Locust Street, PO Box 199, Sidman, PA 15955
Phone
(814) 487-5721
Fax
(814) 487-4781

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for J Eric Wieczorek MD in Sidman?

39D0859621, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does J Eric Wieczorek MD hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 39D0859621 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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