52D0393073 CLIA NUMBER - UW HEALTH-MOUNT HOREB

Laboratory Demographics

CLIA Number: 52D0393073

Facility Name: UW HEALTH-MOUNT HOREB

Facility Address:
600 NORTH 8TH ST
MOUNT HOREB, WI
ZIP 53572
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Facility Phone Number: 608 282-8280

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1598726770

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	52D0393073
LAB Type	Physician Office
Facility Name	UW HEALTH-MOUNT HOREB
Street	600 NORTH 8TH ST
City	MOUNT HOREB
State	WI
ZIP	53572
Phone	608 282-8280
CertificateType	2
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Compliance

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