52D2205514 CLIA NUMBER - THEDACARE AT WORK HRA

Laboratory Demographics

  • CLIA Code: 52D2205514
  • Facility Name: THEDACARE AT WORK HRA
  • Facility Address: 2809 N PARK DRIVE LN
    APPLETON, WI
    ZIP 54911
  • Facility Phone: 920 454-7850
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: DR. KAY THEYERL
  • NPI Number: 1871065037
  • Taxonomy: 174H00000X - Health Educator

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CLIA Record

Field Name Field Value
CLIA Number 52D2205514
LAB Type Health Fair
Facility Name THEDACARE AT WORK HRA
Street 2809 N PARK DRIVE LN
City APPLETON
State WI
ZIP 54911
Phone 920 454-7850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Health Fair
Lab Director DR. KAY THEYERL

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