52D0393107 CLIA NUMBER - PRAIRIE CLINIC

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D0393107
LAB Type Physician Office
Facility Name PRAIRIE CLINIC
Street 112 HELEN ST
City SAUK CITY
State WI
ZIP 53583
Phone 608 643-3351
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director DR. STEVEN JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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