52D2193025 CLIA NUMBER - PRIORITY MEDICAL PARTNERS DIRECT

Laboratory Demographics

  • CLIA Code: 52D2193025
  • Facility Name: PRIORITY MEDICAL PARTNERS DIRECT
  • Facility Address: 500 S CENTRAL AVE, STE A
    MERRILL, WI
    ZIP 54452
  • Facility Phone: 715 420-1831
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN J. ERDMANN
  • NPI Number: 1477007656
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2193025
LAB Type Physician Office
Facility Name PRIORITY MEDICAL PARTNERS DIRECT
Street 500 S CENTRAL AVE, STE A
City MERRILL
State WI
ZIP 54452
Phone 715 420-1831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director DR. BRIAN J. ERDMANN

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