Organization
ST. CROIX TRIBAL COUNCIL
Active
Other names
St. Croix Tribal Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER HEINZ (HEALTH DIRECTOR)
(715) 349-8554
Entity
Organization
Contact information
Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
Mailing address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52D0397049
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52D0397049
CLIA
WI
Enumeration date
05/25/2007
Last updated
10/15/2024
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