52D2296156 CLIA NUMBER - SLAINTE CLINIC

Laboratory Demographics

  • CLIA Code: 52D2296156
  • Facility Name: SLAINTE CLINIC
  • Facility Address: 555 S INDUSTRIAL DR SUITE 1
    HARTLAND, WI
    ZIP 53029
  • Facility Phone: 920 944-8474
  • Facility Type: Other - PRIVATE PRACTICE/MENTAL H
  • Facility Type: Waiver
  • Lab Director: DR. COLLEEN WORTH
  • NPI Number: 1750151395
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 52D2296156
LAB Type Other - PRIVATE PRACTICE/MENTAL H
Facility Name SLAINTE CLINIC
Street 555 S INDUSTRIAL DR SUITE 1
City HARTLAND
State WI
ZIP 53029
Phone 920 944-8474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Other - PRIVATE PRACTICE/MENTAL H
Lab Director DR. COLLEEN WORTH

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