52D1030385 CLIA NUMBER - QUALITY ADDICTION MANAGEMENT, INC DBA GREEN BAY COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 52D1030385
  • Facility Name: QUALITY ADDICTION MANAGEMENT, INC DBA GREEN BAY COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 2357 W MASON ST
    GREEN BAY, WI
    ZIP 54303
  • Facility Phone: 920 337-6740
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD SCHAEFER
  • NPI Number: 1629282470
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1030385
LAB Type Mobile Laboratory
Facility Name QUALITY ADDICTION MANAGEMENT, INC DBA GREEN BAY COMPREHENSIVE TREATMENT CENTER
Street 2357 W MASON ST
City GREEN BAY
State WI
ZIP 54303
Phone 920 337-6740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Mobile Laboratory
Lab Director DR. RICHARD SCHAEFER

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This page was last updated on: 6/4/2025