52D2243854 CLIA NUMBER - EVOLVE HEALING

Laboratory Demographics

  • CLIA Code: 52D2243854
  • Facility Name: EVOLVE HEALING
  • Facility Address: 1504 S COMMERCIAL ST
    NEENAH, WI
    ZIP 54956
  • Facility Phone: 920 364-9078
  • Facility Type: Other - EATING DISORDER TREATMENT
  • Facility Type: Waiver
  • Lab Director: KRISTA S. CORNELIUS
  • NPI Number: 1659731073
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 52D2243854
LAB Type Other - EATING DISORDER TREATMENT
Facility Name EVOLVE HEALING
Street 1504 S COMMERCIAL ST
City NEENAH
State WI
ZIP 54956
Phone 920 364-9078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Other - EATING DISORDER TREATMENT
Lab Director KRISTA S. CORNELIUS

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