52D2239652 CLIA NUMBER - GERALD E GOMM DC

Laboratory Demographics

  • CLIA Code: 52D2239652
  • Facility Name: GERALD E GOMM DC
  • Facility Address: 111 PLANK RD STE 130
    KAUKAUNA, WI
    ZIP 54130
  • Facility Phone: 920 766-7118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GERALD E. GOMM
  • NPI Number: 1730221250
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2239652
LAB Type Physician Office
Facility Name GERALD E GOMM DC
Street 111 PLANK RD STE 130
City KAUKAUNA
State WI
ZIP 54130
Phone 920 766-7118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Physician Office
Lab Director DR. GERALD E. GOMM

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This page was last updated on: 6/4/2025