52D0394732 CLIA NUMBER - HOLY FAMILY MEMORIAL DIAGNOSTIC SERVICES AT HARBOR TOWN

Laboratory Demographics

  • CLIA Code: 52D0394732
  • Facility Name: HOLY FAMILY MEMORIAL DIAGNOSTIC SERVICES AT HARBOR TOWN
  • Facility Address: 1650 S 41ST ST
    MANITOWOC, WI
    ZIP 54220
  • Facility Phone: 920 320-4525
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DR. DANIEL W. ABBOTT
  • NPI Number: 1568418929
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0394732
LAB Type Community Clinic
Facility Name HOLY FAMILY MEMORIAL DIAGNOSTIC SERVICES AT HARBOR TOWN
Street 1650 S 41ST ST
City MANITOWOC
State WI
ZIP 54220
Phone 920 320-4525
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 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Community Clinic
Lab Director DR. DANIEL W. ABBOTT

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