52D0392761 CLIA NUMBER - FORT HEALTHCARE LABORATORY

Laboratory Demographics

  • CLIA Code: 52D0392761
  • Facility Name: FORT HEALTHCARE LABORATORY
  • Facility Address: 611 E SHERMAN AVE
    FORT ATKINSON, WI
    ZIP 53538
  • Facility Phone: 920 568-5259
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. KABEER SHAH

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CLIA Record

Field Name Field Value
CLIA Number 52D0392761
LAB Type Hospital
Facility Name FORT HEALTHCARE LABORATORY
Street 611 E SHERMAN AVE
City FORT ATKINSON
State WI
ZIP 53538
Phone 920 568-5259
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. KABEER SHAH

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This page was last updated on: 6/4/2025