52D0392589 CLIA NUMBER - BELOIT HEALTH SYSTEM BELOIT CLINIC

Laboratory Demographics

  • CLIA Code: 52D0392589
  • Facility Name: BELOIT HEALTH SYSTEM BELOIT CLINIC
  • Facility Address: 1905 HUEBBE PKWY
    BELOIT, WI
    ZIP 53511
  • Facility Phone: 608 364-2448
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. W JOHN RIEKER
  • NPI Number: 1790353753
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0392589
LAB Type Physician Office
Facility Name BELOIT HEALTH SYSTEM BELOIT CLINIC
Street 1905 HUEBBE PKWY
City BELOIT
State WI
ZIP 53511
Phone 608 364-2448
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DR. W JOHN RIEKER

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