Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
52D0672281
|
|
Clinical laboratory number
|
|
Lab Name
|
EDENBROOK SHEBOYGAN
|
|
Laboratory Name
|
|
Lab Type
|
Skilled Nursing Facility/Nursing Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
920-459-3028
|
|
Laboratory telephone number
|
|
Fax
|
920-453-7052
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
3014 ERIE AVE
|
|
Primary location adress line
|
|
City
|
SHEBOYGAN
|
|
Primary location city name
|
|
State
|
WI
|
|
Primary location state name
|
|
Zip
|
53081-3658
|
|
Primary location postal code
|