52D0393842 CLIA NUMBER - MEDICAL ASSOCIATES CLINIC-CUBA CITY

Laboratory Demographics

  • CLIA Code: 52D0393842
  • Facility Name: MEDICAL ASSOCIATES CLINIC-CUBA CITY
  • Facility Address: 117 S MADISON ST
    CUBA CITY, WI
    ZIP 53807
  • Facility Phone: 563 584-4120
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JEFFREY L. WHITE

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CLIA Record

Field Name Field Value
CLIA Number 52D0393842
LAB Type Physician Office
Facility Name MEDICAL ASSOCIATES CLINIC-CUBA CITY
Street 117 S MADISON ST
City CUBA CITY
State WI
ZIP 53807
Phone 563 584-4120
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director DR. JEFFREY L. WHITE

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This page was last updated on: 6/4/2025