52D0724753 CLIA NUMBER - AEGIS GROUP INC

Laboratory Demographics

  • CLIA Code: 52D0724753
  • Facility Name: AEGIS GROUP INC
  • Facility Address: 1751 ALLOUEZ AVE
    GREEN BAY, WI
    ZIP 54311
  • Facility Phone: 920 469-9779
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. THOMAS R. MADIGAN
  • NPI Number: 1063579381
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0724753
LAB Type Ambulance
Facility Name AEGIS GROUP INC
Street 1751 ALLOUEZ AVE
City GREEN BAY
State WI
ZIP 54311
Phone 920 469-9779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulance
Lab Director MR. THOMAS R. MADIGAN

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