52D0667493 CLIA NUMBER - PLATTEVILLE CLINIC AT SOUTHWEST HEALTH

Laboratory Demographics

  • CLIA Code: 52D0667493
  • Facility Name: PLATTEVILLE CLINIC AT SOUTHWEST HEALTH
  • Facility Address: 1450 EASTSIDE RD
    PLATTEVILLE, WI
    ZIP 53818
  • Facility Phone: 608 342-4760
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KELLY BUCHS
  • NPI Number: 1811430085
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 52D0667493
LAB Type Rural Health Clinic
Facility Name PLATTEVILLE CLINIC AT SOUTHWEST HEALTH
Street 1450 EASTSIDE RD
City PLATTEVILLE
State WI
ZIP 53818
Phone 608 342-4760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Rural Health Clinic
Lab Director KELLY BUCHS

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