Organization
ST. CROIX TRIBAL COUNCIL
Active
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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