52D0950211 CLIA NUMBER - BURLINGTON CLINIC AMG

Laboratory Demographics

  • CLIA Code: 52D0950211
  • Facility Name: BURLINGTON CLINIC AMG
  • Facility Address: 248 MCHENRY ST
    BURLINGTON, WI
    ZIP 53105
  • Facility Phone: 262 767-8000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TRI NGUYEN
  • NPI Number: 1164089751
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 52D0950211
LAB Type Physician Office
Facility Name BURLINGTON CLINIC AMG
Street 248 MCHENRY ST
City BURLINGTON
State WI
ZIP 53105
Phone 262 767-8000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director DR. TRI NGUYEN

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