52D2123814 CLIA NUMBER - AURORA MEDICAL CENTER SHEBOYGAN COUNTY

Laboratory Demographics

  • CLIA Code: 52D2123814
  • Facility Name: AURORA MEDICAL CENTER SHEBOYGAN COUNTY
  • Facility Address: 1221 N 26TH STREET
    SHEBOYGAN, WI
    ZIP 53081
  • Facility Phone: 920 451-7894
  • Facility Type: Other - OP BEHAVIORAL HEALTH PROG
  • Facility Type: Waiver
  • Lab Director: MS. TRACY LEE-JOHNSON
  • NPI Number: 1174670244
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2123814
LAB Type Other - OP BEHAVIORAL HEALTH PROG
Facility Name AURORA MEDICAL CENTER SHEBOYGAN COUNTY
Street 1221 N 26TH STREET
City SHEBOYGAN
State WI
ZIP 53081
Phone 920 451-7894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Other - OP BEHAVIORAL HEALTH PROG
Lab Director MS. TRACY LEE-JOHNSON

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