52D2209702 CLIA NUMBER - NEW MD INC

Laboratory Demographics

  • CLIA Code: 52D2209702
  • Facility Name: NEW MD INC
  • Facility Address: 3329 EXPRESS CT
    APPLETON, WI
    ZIP 54915
  • Facility Phone: 920 297-0512
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BOBBY B. YUN
  • NPI Number: 1386240638
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2209702
LAB Type Physician Office
Facility Name NEW MD INC
Street 3329 EXPRESS CT
City APPLETON
State WI
ZIP 54915
Phone 920 297-0512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director DR. BOBBY B. YUN

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This page was last updated on: 3/20/2025