52D0394516 CLIA NUMBER - JOHN L LOEWEN MDSC

Laboratory Demographics

  • CLIA Code: 52D0394516
  • Facility Name: JOHN L LOEWEN MDSC
  • Facility Address: 615 WASHINGTON AVE
    NIAGARA, WI
    ZIP 54151
  • Facility Phone: 715 251-3104
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN LOEWEN, MD
  • NPI Number: 1376693770
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0394516
LAB Type Physician Office
Facility Name JOHN L LOEWEN MDSC
Street 615 WASHINGTON AVE
City NIAGARA
State WI
ZIP 54151
Phone 715 251-3104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN LOEWEN, MD

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