52D2211688 CLIA NUMBER - SPINE QUEST LLC

Laboratory Demographics

  • CLIA Code: 52D2211688
  • Facility Name: SPINE QUEST LLC
  • Facility Address: 1837 PARK AVE
    PLOVER, WI
    ZIP 54467
  • Facility Phone: 715 544-4243
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH L. STIFF
  • NPI Number: 1255951943
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2211688
LAB Type Physician Office
Facility Name SPINE QUEST LLC
Street 1837 PARK AVE
City PLOVER
State WI
ZIP 54467
Phone 715 544-4243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director SARAH L. STIFF

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