52D2059519 CLIA NUMBER - LAKE MILLS CHIROPRACTIC, LLC

Laboratory Demographics

  • CLIA Code: 52D2059519
  • Facility Name: LAKE MILLS CHIROPRACTIC, LLC
  • Facility Address: 125 EAST PINE ST, SUITE A
    LAKE MILLS, WI
    ZIP 53551
  • Facility Phone: 920 648-6466
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER J. KROLL
  • NPI Number: 1255490108
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2059519
LAB Type Practitioner Other
Facility Name LAKE MILLS CHIROPRACTIC, LLC
Street 125 EAST PINE ST, SUITE A
City LAKE MILLS
State WI
ZIP 53551
Phone 920 648-6466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Practitioner Other
Lab Director DR. CHRISTOPHER J. KROLL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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