52D2275372 CLIA NUMBER - PAUL B DOENIER MD, SC

Laboratory Demographics

  • CLIA Code: 52D2275372
  • Facility Name: PAUL B DOENIER MD, SC
  • Facility Address: 1111 DELAFIELD ST, STE 300
    WAUKESHA, WI
    ZIP 53188
  • Facility Phone: 262 446-0955
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAUL B. DOENIER
  • NPI Number: 1720030489
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2275372
LAB Type Physician Office
Facility Name PAUL B DOENIER MD, SC
Street 1111 DELAFIELD ST, STE 300
City WAUKESHA
State WI
ZIP 53188
Phone 262 446-0955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director DR. PAUL B. DOENIER

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