52D1078191 CLIA NUMBER - MARK L HERRING, MD, SC

Laboratory Demographics

  • CLIA Code: 52D1078191
  • Facility Name: MARK L HERRING, MD, SC
  • Facility Address: 1355 JOHNSTON DR
    MANITOWOC, WI
    ZIP 54220
  • Facility Phone: (920) 682-2747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK L. HERRING, MD
  • NPI Number: 1184922320
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D1078191
LAB Type Physician Office
Facility Name MARK L HERRING, MD, SC
Street 1355 JOHNSTON DR
City MANITOWOC
State WI
ZIP 54220
Phone 9206822747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2026
Certificate Expiration Date 1/2/2028
Facility Type Physician Office
Lab Director MARK L. HERRING, MD

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This page was last updated on: 5/18/2026