52D0396462 CLIA NUMBER - GUNDERSEN HEALTH SYSTEM TOMAH CLINIC

Laboratory Demographics

  • CLIA Code: 52D0396462
  • Facility Name: GUNDERSEN HEALTH SYSTEM TOMAH CLINIC
  • Facility Address: 505 GOPHER DRIVE
    TOMAH, WI
    ZIP 54660
  • Facility Phone: 608 372-4111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LINDA K. KIOUS
  • NPI Number: 1952967358
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0396462
LAB Type Physician Office
Facility Name GUNDERSEN HEALTH SYSTEM TOMAH CLINIC
Street 505 GOPHER DRIVE
City TOMAH
State WI
ZIP 54660
Phone 608 372-4111
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director LINDA K. KIOUS

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