52D0393253 CLIA NUMBER - SSM HEALTH DEAN MEDICAL GROUP - WAUNAKEE

Laboratory Demographics

  • CLIA Code: 52D0393253
  • Facility Name: SSM HEALTH DEAN MEDICAL GROUP - WAUNAKEE
  • Facility Address: 1300 S CENTURY AVE
    WAUNAKEE, WI
    ZIP 53597
  • Facility Phone: 608 850-1611
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MS. SHERI L. ROH-BAKKEN
  • NPI Number: 1619984713
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D0393253
LAB Type Physician Office
Facility Name SSM HEALTH DEAN MEDICAL GROUP - WAUNAKEE
Street 1300 S CENTURY AVE
City WAUNAKEE
State WI
ZIP 53597
Phone 608 850-1611
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 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director MS. SHERI L. ROH-BAKKEN

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