52D2213189 CLIA NUMBER - ST GIANNA CLINICS

Laboratory Demographics

  • CLIA Code: 52D2213189
  • Facility Name: ST GIANNA CLINICS
  • Facility Address: 1716 LAWRENCE DRIVE STE 100
    DE PERE, WI
    ZIP 54115
  • Facility Phone: 920 605-3115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBIN GOLDSMITH
  • NPI Number: 1104426477
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2213189
LAB Type Physician Office
Facility Name ST GIANNA CLINICS
Street 1716 LAWRENCE DRIVE STE 100
City DE PERE
State WI
ZIP 54115
Phone 920 605-3115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director DR. ROBIN GOLDSMITH

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