52D0941336 CLIA NUMBER - KREUSER CLINIC SC

Laboratory Demographics

  • CLIA Code: 52D0941336
  • Facility Name: KREUSER CLINIC SC
  • Facility Address: 320 SUPERIOR AVE
    WASHBURN, WI
    ZIP 54891
  • Facility Phone: 715 373-0128
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN R. KREUSER, MD
  • NPI Number: 1992095970
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0941336
LAB Type Physician Office
Facility Name KREUSER CLINIC SC
Street 320 SUPERIOR AVE
City WASHBURN
State WI
ZIP 54891
Phone 715 373-0128
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 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director STEPHEN R. KREUSER, MD

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