52D0394540 CLIA NUMBER - BELLIN HEALTH OCONTO FALLS

Laboratory Demographics

CLIA Number: 52D0394540

Facility Name: BELLIN HEALTH OCONTO FALLS

Facility Address:
107 E HIGHLAND DR
OCONTO FALLS, WI
ZIP 54154
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Facility Phone Number: 920 846-3092

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1063038313

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D0394540
LAB Type	Physician Office
Facility Name	BELLIN HEALTH OCONTO FALLS
Street	107 E HIGHLAND DR
City	OCONTO FALLS
State	WI
ZIP	54154
Phone	920 846-3092
CertificateType	2
CertificateEffectiveDate	7/15/2023
CertificateExpirationDate	7/14/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024