52D2073464 CLIA NUMBER - LENHARD PROFESSIONAL SERVICES

Laboratory Demographics

  • CLIA Code: 52D2073464
  • Facility Name: LENHARD PROFESSIONAL SERVICES
  • Facility Address: 2292 MAIN ST
    GREEN BAY, WI
    ZIP 54311
  • Facility Phone: 920 465-7990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. TODD LENHARD
  • NPI Number: 1225269848
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2073464
LAB Type Physician Office
Facility Name LENHARD PROFESSIONAL SERVICES
Street 2292 MAIN ST
City GREEN BAY
State WI
ZIP 54311
Phone 920 465-7990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director MR. TODD LENHARD

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