52D2144338 CLIA NUMBER - OGI CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 52D2144338
  • Facility Name: OGI CHIROPRACTIC
  • Facility Address: 1040 FOND DU LAC AVE
    KEWASKUM, WI
    ZIP 53040
  • Facility Phone: 262 477-1040
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS N. OGI
  • NPI Number: 1629546726
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2144338
LAB Type Practitioner Other
Facility Name OGI CHIROPRACTIC
Street 1040 FOND DU LAC AVE
City KEWASKUM
State WI
ZIP 53040
Phone 262 477-1040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Practitioner Other
Lab Director DR. THOMAS N. OGI

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