52D0669308 CLIA NUMBER - NEWCAP INC COMMUNITY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0669308
  • Facility Name: NEWCAP INC COMMUNITY HEALTH SERVICES
  • Facility Address: 1201 MAIN ST
    OCONTO, WI
    ZIP 54153
  • Facility Phone: 920 834-4621
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ELIZABETH STUKENBERG
  • NPI Number: 1962520353
  • Taxonomy: 261QF0050X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0669308
LAB Type Community Clinic
Facility Name NEWCAP INC COMMUNITY HEALTH SERVICES
Street 1201 MAIN ST
City OCONTO
State WI
ZIP 54153
Phone 920 834-4621
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Community Clinic
Lab Director ELIZABETH STUKENBERG

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