52D0987343 CLIA NUMBER - UNITED OCCUPATIONAL MEDICINE CLINIC

Laboratory Demographics

CLIA Number: 52D0987343

Facility Name: UNITED OCCUPATIONAL MEDICINE CLINIC

Facility Address:
10256 OLD GREEN BAY RD STE 140
PLEASANT PRAIRIE, WI
ZIP 53158
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Facility Phone Number: 262 217-3455

Facility Type: Industrial

Certificate Type: Waiver

NPI Number: 1518915073

Taxonomy: 2083X0100X - Preventive Medicine
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

CLIA Record

Field Name	Field Value
CLIA Number	52D0987343
LAB Type	Industrial
Facility Name	UNITED OCCUPATIONAL MEDICINE CLINIC
Street	10256 OLD GREEN BAY RD STE 140
City	PLEASANT PRAIRIE
State	WI
ZIP	53158
Phone	262 217-3455
CertificateType	4
CertificateEffectiveDate	2/15/2024
CertificateExpirationDate	2/14/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024