52D1106114 CLIA NUMBER - INNOVATIVE HEALTH LLC

Laboratory Demographics

  • CLIA Code: 52D1106114
  • Facility Name: INNOVATIVE HEALTH LLC
  • Facility Address: 2114 SCHOFIELD AVE
    WESTON, WI
    ZIP 54476
  • Facility Phone: 715 355-4224
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN E. RITZENTHALER
  • NPI Number: 1689988495
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1106114
LAB Type Practitioner Other
Facility Name INNOVATIVE HEALTH LLC
Street 2114 SCHOFIELD AVE
City WESTON
State WI
ZIP 54476
Phone 715 355-4224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Practitioner Other
Lab Director DR. KEVIN E. RITZENTHALER

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