52D0394897 CLIA NUMBER - PREVEA CLINIC-ALLOUEZ

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CLIA Record

Field Name Field Value
CLIA Number 52D0394897
LAB Type Physician Office
Facility Name PREVEA CLINIC-ALLOUEZ
Street 1821 S WEBSTER AVE
City GREEN BAY
State WI
ZIP 54301
Phone 920 496-4700
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 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director DR. ROBERT CUTLAN

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