52D0394308 CLIA NUMBER - ST CROIX COUNTY HEALTH AND HUMAN SERVICES

Laboratory Demographics

  • CLIA Code: 52D0394308
  • Facility Name: ST CROIX COUNTY HEALTH AND HUMAN SERVICES
  • Facility Address: 1752 DORSET LANE
    NEW RICHMOND, WI
    ZIP 54017
  • Facility Phone: 715 246-8330
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: MS. LORI J. PETERSON
  • NPI Number: 1083888788
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 52D0394308
LAB Type Public Health Laboratories
Facility Name ST CROIX COUNTY HEALTH AND HUMAN SERVICES
Street 1752 DORSET LANE
City NEW RICHMOND
State WI
ZIP 54017
Phone 715 246-8330
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 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Public Health Laboratories
Lab Director MS. LORI J. PETERSON

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