52D2265487 CLIA NUMBER - WHITLEDGE FAMILY PRACTICE CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 52D2265487
  • Facility Name: WHITLEDGE FAMILY PRACTICE CHIROPRACTIC
  • Facility Address: 2753 WISCONSIN ST
    STURTEVANT, WI
    ZIP 53177
  • Facility Phone: 262 886-8600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMANDA L. WHITLEDGE
  • NPI Number: 1861878928
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2265487
LAB Type Practitioner Other
Facility Name WHITLEDGE FAMILY PRACTICE CHIROPRACTIC
Street 2753 WISCONSIN ST
City STURTEVANT
State WI
ZIP 53177
Phone 262 886-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Practitioner Other
Lab Director AMANDA L. WHITLEDGE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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