52D2151791 CLIA NUMBER - WOLF RIVER CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 52D2151791
  • Facility Name: WOLF RIVER CHIROPRACTIC
  • Facility Address: N5644 STATE HIGHWAY 76
    SHIOCTON, WI
    ZIP 54170
  • Facility Phone: 920 240-4441
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. JOLENE M. GARVEY PINTAR
  • NPI Number: 1487028205
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2151791
LAB Type Practitioner Other
Facility Name WOLF RIVER CHIROPRACTIC
Street N5644 STATE HIGHWAY 76
City SHIOCTON
State WI
ZIP 54170
Phone 920 240-4441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Practitioner Other
Lab Director DR. JOLENE M. GARVEY PINTAR

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