52D0705559 CLIA NUMBER - MILE BLUFF CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 52D0705559
LAB Type Rural Health Clinic
Facility Name MILE BLUFF CLINIC
Street 1040 DIVISION ST
City MAUSTON
State WI
ZIP 53948
Phone 608 847-1262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Rural Health Clinic
Lab Director CARLY J. THAYER

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