52D0394662 CLIA NUMBER - LUXEMBURG CLINIC A PREVEA HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 52D0394662
  • Facility Name: LUXEMBURG CLINIC A PREVEA HEALTH CENTER
  • Facility Address: 101 SCHOOL CREEK TRAIL
    LUXEMBURG, WI
    ZIP 54217
  • Facility Phone: 920 845-2351
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ADAM KUTEN
  • NPI Number: 1922104934
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0394662
LAB Type Physician Office
Facility Name LUXEMBURG CLINIC A PREVEA HEALTH CENTER
Street 101 SCHOOL CREEK TRAIL
City LUXEMBURG
State WI
ZIP 54217
Phone 920 845-2351
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director DR. ADAM KUTEN

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