52D0954802 CLIA NUMBER - ALBERT L FISHER MD

Laboratory Demographics

  • CLIA Code: 52D0954802
  • Facility Name: ALBERT L FISHER MD
  • Facility Address: 10 E IRVING AVE, SUITE B
    OSHKOSH, WI
    ZIP 54901
  • Facility Phone: 920 236-3290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALBERT L. FISHER
  • NPI Number: 1407073497
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0954802
LAB Type Physician Office
Facility Name ALBERT L FISHER MD
Street 10 E IRVING AVE, SUITE B
City OSHKOSH
State WI
ZIP 54901
Phone 920 236-3290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Physician Office
Lab Director DR. ALBERT L. FISHER

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