52D0395522 CLIA NUMBER - MARSHFIELD CLINIC MOSINEE CENTER

Laboratory Demographics

CLIA Number: 52D0395522

Facility Name: MARSHFIELD CLINIC MOSINEE CENTER

Facility Address:
390 ORBITING DR
MOSINEE, WI
ZIP 54455
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Facility Phone Number: 715 253-2119

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1679659262

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	52D0395522
LAB Type	Physician Office
Facility Name	MARSHFIELD CLINIC MOSINEE CENTER
Street	390 ORBITING DR
City	MOSINEE
State	WI
ZIP	54455
Phone	715 253-2119
CertificateType	1
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Accreditation

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