52D1101820 CLIA NUMBER - KA' NIKUHLI YO' FAMILY CENTER

Laboratory Demographics

  • CLIA Code: 52D1101820
  • Facility Name: KA' NIKUHLI YO' FAMILY CENTER
  • Facility Address: 2640 W POINT RD
    GREEN BAY, WI
    ZIP 54313
  • Facility Phone: 920 490-3790
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MS. MARI J. KRIESCHER
  • NPI Number: 1205825130
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1101820
LAB Type Federally Qualified Health Center
Facility Name KA' NIKUHLI YO' FAMILY CENTER
Street 2640 W POINT RD
City GREEN BAY
State WI
ZIP 54313
Phone 920 490-3790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Federally Qualified Health Center
Lab Director MS. MARI J. KRIESCHER

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