52D2175742 CLIA NUMBER - ADVANCED HEALTH, FUNCTIONAL AND REGENERATIVE MED

Laboratory Demographics

  • CLIA Code: 52D2175742
  • Facility Name: ADVANCED HEALTH, FUNCTIONAL AND REGENERATIVE MED
  • Facility Address: 401 S PELHAM ST
    RHINELANDER, WI
    ZIP 54501
  • Facility Phone: 715 362-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN COTTER
  • NPI Number: 1881892636
  • Taxonomy: 111NN0400X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2175742
LAB Type Physician Office
Facility Name ADVANCED HEALTH, FUNCTIONAL AND REGENERATIVE MED
Street 401 S PELHAM ST
City RHINELANDER
State WI
ZIP 54501
Phone 715 362-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director DR. JONATHAN COTTER

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