52D0683753 CLIA NUMBER - LAFAYETTE HOSPITAL AND CLINICS - PRIMARY CARE SHULLSBURG

Laboratory Demographics

  • CLIA Code: 52D0683753
  • Facility Name: LAFAYETTE HOSPITAL AND CLINICS - PRIMARY CARE SHULLSBURG
  • Facility Address: 104 S JUDGEMENT ST
    SHULLSBURG, WI
    ZIP 53586
  • Facility Phone: 608 776-4497
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CHRISTINA ACHERMAN
  • NPI Number: 1285150045
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0683753
LAB Type Rural Health Clinic
Facility Name LAFAYETTE HOSPITAL AND CLINICS - PRIMARY CARE SHULLSBURG
Street 104 S JUDGEMENT ST
City SHULLSBURG
State WI
ZIP 53586
Phone 608 776-4497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Rural Health Clinic
Lab Director CHRISTINA ACHERMAN

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