52D2239796 CLIA NUMBER - ALLOUEZ DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2239796
  • Facility Name: ALLOUEZ DIALYSIS
  • Facility Address: 161 W ST JOSEPH ST
    ALLOUEZ, WI
    ZIP 54301
  • Facility Phone: 920 932-6441
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL A. STURGILL
  • NPI Number: 1902576382
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2239796
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ALLOUEZ DIALYSIS
Street 161 W ST JOSEPH ST
City ALLOUEZ
State WI
ZIP 54301
Phone 920 932-6441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DANIEL A. STURGILL

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