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52D0396448 CLIA NUMBER - GUNDERSEN HEALTH SYSTEM SPARTA CLINIC

Laboratory Demographics

CLIA Number: 52D0396448

Facility Name: GUNDERSEN HEALTH SYSTEM SPARTA CLINIC

Facility Address:
1111 WEST WISCONSIN STREET
SPARTA, WI
ZIP 54656
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Facility Phone Number: 608 366-3001

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1578518346

Taxonomy: 152W00000X - Optometrist
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

CLIA Record

Field Name Field Value
CLIA Number 52D0396448
LAB Type Physician Office
Facility Name GUNDERSEN HEALTH SYSTEM SPARTA CLINIC
Street 1111 WEST WISCONSIN STREET
City SPARTA
State WI
ZIP 54656
Phone 608 366-3001
CertificateType 2
CertificateEffectiveDate 12/1/2023
CertificateExpirationDate 11/30/2025
FacilityType Compliance

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