52D0857522 CLIA NUMBER - FOX RIVER DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D0857522
  • Facility Name: FOX RIVER DIALYSIS
  • Facility Address: 1910 RIVERSIDE DR
    GREEN BAY, WI
    ZIP 54301
  • Facility Phone: 920 436-4910
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN NEU
  • NPI Number: 1942264759
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0857522
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FOX RIVER DIALYSIS
Street 1910 RIVERSIDE DR
City GREEN BAY
State WI
ZIP 54301
Phone 920 436-4910
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 End Stage Renal Disease Dialysis Facility
Lab Director DR. STEVEN NEU

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