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

Laboratory Demographics

CLIA Number: 52D0394308

Facility Name: ST CROIX COUNTY HEALTH AND HUMAN SERVICES

Facility Address:
1752 DORSET LANE
NEW RICHMOND, WI
ZIP 54017
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Facility Phone Number: 715 246-8330

Facility Type: Public Health Laboratories

Certificate Type: Microscopy

NPI Number: 1083888788

Taxonomy: 251K00000X - Public Health or Welfare

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
CertificateType	3
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024