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52D2276996 CLIA NUMBER - CHILDREN'S WISCONSIN CLINICS APPLETON

Laboratory Demographics

CLIA Number: 52D2276996

Facility Name: CHILDREN'S WISCONSIN CLINICS APPLETON

Facility Address:
2575 EAST EVERGREEN DRIVE
APPLETON, WI
ZIP 54913
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Facility Phone Number: 414 266-2518

Facility Type: Community Clinic

Certificate Type: Accreditation
NPI Number: 1700125481

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 52D2276996
LAB Type Community Clinic
Facility Name CHILDREN'S WISCONSIN CLINICS APPLETON
Street 2575 EAST EVERGREEN DRIVE
City APPLETON
State WI
ZIP 54913
Phone 414 266-2518
CertificateType 1
CertificateEffectiveDate 11/15/2023
CertificateExpirationDate 11/14/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024