52D0674907 CLIA NUMBER - LUCK MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 52D0674907
  • Facility Name: LUCK MEDICAL CLINIC
  • Facility Address: 2547 STATE HWY 35
    LUCK, WI
    ZIP 54853
  • Facility Phone: 715 472-2177
  • Facility Type: Rural Health Clinic
  • Facility Type: Accreditation
  • Lab Director: DR. MARYNA TARBUNOVA
  • NPI Number: 1649435876
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0674907
LAB Type Rural Health Clinic
Facility Name LUCK MEDICAL CLINIC
Street 2547 STATE HWY 35
City LUCK
State WI
ZIP 54853
Phone 715 472-2177
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Rural Health Clinic
Lab Director DR. MARYNA TARBUNOVA

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