52D2123975 CLIA NUMBER - THREE OAKS HEALTH

Laboratory Demographics

  • CLIA Code: 52D2123975
  • Facility Name: THREE OAKS HEALTH
  • Facility Address: 5 HARTWIG DR
    JOHNSON CREEK, WI
    ZIP 53038
  • Facility Phone: 920 542-3010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES A. MILFORD
  • NPI Number: 1760931026
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2123975
LAB Type Physician Office
Facility Name THREE OAKS HEALTH
Street 5 HARTWIG DR
City JOHNSON CREEK
State WI
ZIP 53038
Phone 920 542-3010
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director DR. JAMES A. MILFORD

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