52D0392967 CLIA NUMBER - GHC-SCW SAUK TRAILS LABORATORY

Laboratory Demographics

CLIA Number: 52D0392967

Facility Name: GHC-SCW SAUK TRAILS LABORATORY

Facility Address:
8202 EXCELSIOR DR
MADISON, WI
ZIP 53717
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Facility Phone Number: 608 662-5066

Facility Type: Health Main. Organization

Certificate Type: Certificate of Compliance

NPI Number: 1649689316

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D0392967
LAB Type	Health Main. Organization
Facility Name	GHC-SCW SAUK TRAILS LABORATORY
Street	8202 EXCELSIOR DR
City	MADISON
State	WI
ZIP	53717
Phone	608 662-5066
CertificateType	2
CertificateEffectiveDate	2/26/2023
CertificateExpirationDate	2/25/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024