52D0662071 CLIA NUMBER - FOREST COUNTY HEALTH DEPARTMENT COURTHOUSE

Laboratory Demographics

  • CLIA Code: 52D0662071
  • Facility Name: FOREST COUNTY HEALTH DEPARTMENT COURTHOUSE
  • Facility Address: 200 E MADISON ST
    CRANDON, WI
    ZIP 54520
  • Facility Phone: 715 478-3371
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: AMY GATTON
  • NPI Number: 1285847145
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 52D0662071
LAB Type Public Health Laboratories
Facility Name FOREST COUNTY HEALTH DEPARTMENT COURTHOUSE
Street 200 E MADISON ST
City CRANDON
State WI
ZIP 54520
Phone 715 478-3371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Public Health Laboratories
Lab Director AMY GATTON

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