52D0392660 CLIA NUMBER - BELOIT HEALTH SYSTEM CLINTON CLINIC

Laboratory Demographics

  • CLIA Code: 52D0392660
  • Facility Name: BELOIT HEALTH SYSTEM CLINTON CLINIC
  • Facility Address: 307 OGDEN AVENUE
    CLINTON, WI
    ZIP 53525
  • Facility Phone: 608 676-2206
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. TEJESH N. PATEL
  • NPI Number: 1972309375
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0392660
LAB Type Community Clinic
Facility Name BELOIT HEALTH SYSTEM CLINTON CLINIC
Street 307 OGDEN AVENUE
City CLINTON
State WI
ZIP 53525
Phone 608 676-2206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Community Clinic
Lab Director DR. TEJESH N. PATEL

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