52D0396363 CLIA NUMBER - KROHN CLINIC - BLACK RIVER HEALTH, INC

Laboratory Demographics

  • CLIA Code: 52D0396363
  • Facility Name: KROHN CLINIC - BLACK RIVER HEALTH, INC
  • Facility Address: 610 W ADAMS ST
    BLACK RIVER FALLS, WI
    ZIP 54615
  • Facility Phone: 715 284-4311
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GREG C. HEILER
  • NPI Number: 1790777621
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0396363
LAB Type Rural Health Clinic
Facility Name KROHN CLINIC - BLACK RIVER HEALTH, INC
Street 610 W ADAMS ST
City BLACK RIVER FALLS
State WI
ZIP 54615
Phone 715 284-4311
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Rural Health Clinic
Lab Director DR. GREG C. HEILER

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