52D2195278 CLIA NUMBER - KYLE J CRESS LLC IN SPINE PRO CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 52D2195278
  • Facility Name: KYLE J CRESS LLC IN SPINE PRO CHIROPRACTIC
  • Facility Address: 1500 MADISON AVE
    NEW RICHMOND, WI
    ZIP 54017
  • Facility Phone: 715 941-5100
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. KYLE J. CRESS
  • NPI Number: 1710456173
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2195278
LAB Type Practitioner Other
Facility Name KYLE J CRESS LLC IN SPINE PRO CHIROPRACTIC
Street 1500 MADISON AVE
City NEW RICHMOND
State WI
ZIP 54017
Phone 715 941-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Practitioner Other
Lab Director DR. KYLE J. CRESS

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