52D2223505 CLIA NUMBER - PEWAUKEE SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 52D2223505
  • Facility Name: PEWAUKEE SCHOOL DISTRICT
  • Facility Address: 404 LAKE ST
    PEWAUKEE, WI
    ZIP 53072
  • Facility Phone: 262 695-5061
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: COLIN JACOBS
  • NPI Number: 1356492284
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2223505
LAB Type School/Student Health Service
Facility Name PEWAUKEE SCHOOL DISTRICT
Street 404 LAKE ST
City PEWAUKEE
State WI
ZIP 53072
Phone 262 695-5061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type School/Student Health Service
Lab Director COLIN JACOBS

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