52D0396911 CLIA NUMBER - GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS WHITEHALL CLINIC

Laboratory Demographics

  • CLIA Code: 52D0396911
  • Facility Name: GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS WHITEHALL CLINIC
  • Facility Address: 18601 LINCOLN STREET
    WHITEHALL, WI
    ZIP 54773
  • Facility Phone: 715 538-2678
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MS. DARCY J. GOPLIN
  • NPI Number: 1609828151
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0396911
LAB Type Rural Health Clinic
Facility Name GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS WHITEHALL CLINIC
Street 18601 LINCOLN STREET
City WHITEHALL
State WI
ZIP 54773
Phone 715 538-2678
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Rural Health Clinic
Lab Director MS. DARCY J. GOPLIN

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