52D0389347 CLIA NUMBER - JUNITH M THOMPSON,MD SC

Laboratory Demographics

  • CLIA Code: 52D0389347
  • Facility Name: JUNITH M THOMPSON,MD SC
  • Facility Address: 6530 SHERIDAN ROAD
    KENOSHA, WI
    ZIP 53143
  • Facility Phone: 262 657-8360
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JUNITH M. THOMPSON, MD
  • NPI Number: 1558413161
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 52D0389347
LAB Type Physician Office
Facility Name JUNITH M THOMPSON,MD SC
Street 6530 SHERIDAN ROAD
City KENOSHA
State WI
ZIP 53143
Phone 262 657-8360
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JUNITH M. THOMPSON, MD

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This page was last updated on: 6/4/2025