52D1014299 CLIA NUMBER - TITLETOWN DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D1014299
  • Facility Name: TITLETOWN DIALYSIS
  • Facility Address: 120 SIEGLER ST
    GREEN BAY, WI
    ZIP 54303
  • Facility Phone: 920 327-2120
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ANUPAMA VERMA
  • NPI Number: 1134184971
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1014299
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TITLETOWN DIALYSIS
Street 120 SIEGLER ST
City GREEN BAY
State WI
ZIP 54303
Phone 920 327-2120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ANUPAMA VERMA

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