52D0388536 CLIA NUMBER - RICHARD E NEILS MD

Laboratory Demographics

  • CLIA Code: 52D0388536
  • Facility Name: RICHARD E NEILS MD
  • Facility Address: 888 THACKERAY TRAIL STE 212
    OCONOMOWOC, WI
    ZIP 53066
  • Facility Phone: 262 567-0247
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RICHARD E. NEILS
  • NPI Number: 1164496162
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0388536
LAB Type Physician Office
Facility Name RICHARD E NEILS MD
Street 888 THACKERAY TRAIL STE 212
City OCONOMOWOC
State WI
ZIP 53066
Phone 262 567-0247
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director DR. RICHARD E. NEILS

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