52D0394122 CLIA NUMBER - NEW LISBON FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 52D0394122
  • Facility Name: NEW LISBON FAMILY MEDICAL CENTER
  • Facility Address: 901 W BRIDGE ST
    NEW LISBON, WI
    ZIP 53950
  • Facility Phone: 608 562-3111
  • Facility Type: Rural Health Clinic
  • Facility Type: Accreditation
  • Lab Director: MR. CARLY THAYER
  • NPI Number: 1174717656
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D0394122
LAB Type Rural Health Clinic
Facility Name NEW LISBON FAMILY MEDICAL CENTER
Street 901 W BRIDGE ST
City NEW LISBON
State WI
ZIP 53950
Phone 608 562-3111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Rural Health Clinic
Lab Director MR. CARLY THAYER

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