52D0888440 CLIA NUMBER - SHAWANO LAKE DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D0888440
  • Facility Name: SHAWANO LAKE DIALYSIS
  • Facility Address: W7305 ELM AVE
    SHAWANO, WI
    ZIP 54166
  • Facility Phone: 715 526-4310
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN E. NEU
  • NPI Number: 1841255601
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0888440
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SHAWANO LAKE DIALYSIS
Street W7305 ELM AVE
City SHAWANO
State WI
ZIP 54166
Phone 715 526-4310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. STEVEN E. NEU

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