52D0389111 CLIA NUMBER - CLIFFORD R POPLAR MD

Laboratory Demographics

  • CLIA Code: 52D0389111
  • Facility Name: CLIFFORD R POPLAR MD
  • Facility Address: 915 GENEVA ST PO BOX 467
    DELAVAN, WI
    ZIP 53115
  • Facility Phone: 262 728-2651
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CLIFFORD R. POPLAR
  • NPI Number: 1942396718
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0389111
LAB Type Physician Office
Facility Name CLIFFORD R POPLAR MD
Street 915 GENEVA ST PO BOX 467
City DELAVAN
State WI
ZIP 53115
Phone 262 728-2651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director DR. CLIFFORD R. POPLAR

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