52D1033946 CLIA NUMBER - MILO C HUEMPFNER VA HCC

Laboratory Demographics

  • CLIA Code: 52D1033946
  • Facility Name: MILO C HUEMPFNER VA HCC
  • Facility Address: 141 SIEGLER ST
    GREEN BAY, WI
    ZIP 54303
  • Facility Phone: 414 384-2000
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS BRUCKER
  • NPI Number: 1083662712
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D1033946
LAB Type Community Clinic
Facility Name MILO C HUEMPFNER VA HCC
Street 141 SIEGLER ST
City GREEN BAY
State WI
ZIP 54303
Phone 414 384-2000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/22/2004
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director THOMAS BRUCKER

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