52D0039579 CLIA NUMBER - SSM HEALTH DEAN MEDICAL GROUP - OREGON

Laboratory Demographics

  • CLIA Code: 52D0039579
  • Facility Name: SSM HEALTH DEAN MEDICAL GROUP - OREGON
  • Facility Address: 753 N MAIN ST
    OREGON, WI
    ZIP 53575
  • Facility Phone: 608 835-1009
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MS. SHERI L. ROH-BAKKEN
  • NPI Number: 1720096332
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D0039579
LAB Type Physician Office
Facility Name SSM HEALTH DEAN MEDICAL GROUP - OREGON
Street 753 N MAIN ST
City OREGON
State WI
ZIP 53575
Phone 608 835-1009
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director MS. SHERI L. ROH-BAKKEN

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