52D2313447 CLIA NUMBER - MARATHON HEALTH DE PERE

Laboratory Demographics

  • CLIA Code: 52D2313447
  • Facility Name: MARATHON HEALTH DE PERE
  • Facility Address: 1500 HERITAGE RD, SUITE 2
    DE PERE, WI
    ZIP 54115
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE EMPLOYER HEALTH CE
  • Facility Type: Waiver
  • Lab Director: ERIN K. LEEGE
  • NPI Number: 1649629478
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 52D2313447
LAB Type Other - ONSITE EMPLOYER HEALTH CE
Facility Name MARATHON HEALTH DE PERE
Street 1500 HERITAGE RD, SUITE 2
City DE PERE
State WI
ZIP 54115
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Other - ONSITE EMPLOYER HEALTH CE
Lab Director ERIN K. LEEGE

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