52D2002460 CLIA NUMBER - THEDACARE PHYSICIANS DARBOY

Laboratory Demographics

  • CLIA Code: 52D2002460
  • Facility Name: THEDACARE PHYSICIANS DARBOY
  • Facility Address: W5282 AMY AVE
    APPLETON, WI
    ZIP 54915
  • Facility Phone: 920 454-8612
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. REBECCA BUELL-GUTBROD
  • NPI Number: 1235225210
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 52D2002460
LAB Type Physician Office
Facility Name THEDACARE PHYSICIANS DARBOY
Street W5282 AMY AVE
City APPLETON
State WI
ZIP 54915
Phone 920 454-8612
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director DR. REBECCA BUELL-GUTBROD

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This page was last updated on: 3/20/2025