52D2294677 CLIA NUMBER - SHOREWOOD SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 52D2294677

Facility Name: SHOREWOOD SCHOOL DISTRICT

Facility Address:
1701 E CAPITOL DR
SHOREWOOD, WI
ZIP 53211
Get Directions

Facility Phone Number: 414 961-2888

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1316047608

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	52D2294677
LAB Type	School/Student Health Service
Facility Name	SHOREWOOD SCHOOL DISTRICT
Street	1701 E CAPITOL DR
City	SHOREWOOD
State	WI
ZIP	53211
Phone	414 961-2888
CertificateType	4
CertificateEffectiveDate	11/29/2023
CertificateExpirationDate	11/28/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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