52D2163048 CLIA NUMBER - KEWAUNEE COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 52D2163048
  • Facility Name: KEWAUNEE COUNTY JAIL
  • Facility Address: 620 JUNEAU ST
    KEWAUNEE, WI
    ZIP 54216
  • Facility Phone: 920 388-7189
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: MR. CHRIS VANEREM
  • NPI Number: 1063618502
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2163048
LAB Type Other - COUNTY JAIL
Facility Name KEWAUNEE COUNTY JAIL
Street 620 JUNEAU ST
City KEWAUNEE
State WI
ZIP 54216
Phone 920 388-7189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Other - COUNTY JAIL
Lab Director MR. CHRIS VANEREM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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