52D0393210 CLIA NUMBER - SSM HEALTH DEAN MEDICAL GROUP - SUN PRAIRIE

Laboratory Demographics

  • CLIA Code: 52D0393210
  • Facility Name: SSM HEALTH DEAN MEDICAL GROUP - SUN PRAIRIE
  • Facility Address: 10 TOWER DR
    SUN PRAIRIE, WI
    ZIP 53590
  • Facility Phone: 608 825-3527
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MOLLY A. GURNEY
  • NPI Number: 1417968264
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D0393210
LAB Type Physician Office
Facility Name SSM HEALTH DEAN MEDICAL GROUP - SUN PRAIRIE
Street 10 TOWER DR
City SUN PRAIRIE
State WI
ZIP 53590
Phone 608 825-3527
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 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director DR. MOLLY A. GURNEY

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This page was last updated on: 3/20/2025