52D0394842 CLIA NUMBER - TWO RIVERS CLINIC-AMG INC 1ST FLOOR LABORATORY

Laboratory Demographics

  • CLIA Code: 52D0394842
  • Facility Name: TWO RIVERS CLINIC-AMG INC 1ST FLOOR LABORATORY
  • Facility Address: 2219 GARFIELD ST
    TWO RIVERS, WI
    ZIP 54241
  • Facility Phone: 920 793-6329
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JANNA A. KROISS
  • NPI Number: 1952528325
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D0394842
LAB Type Physician Office
Facility Name TWO RIVERS CLINIC-AMG INC 1ST FLOOR LABORATORY
Street 2219 GARFIELD ST
City TWO RIVERS
State WI
ZIP 54241
Phone 920 793-6329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director DR. JANNA A. KROISS

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