52D0869821 CLIA NUMBER - CHIPPEWA COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 52D0869821
  • Facility Name: CHIPPEWA COUNTY JAIL
  • Facility Address: 50 E SPRUCE STREET
    CHIPPEWA FALLS, WI
    ZIP 54729
  • Facility Phone: 715 726-7705
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: JAMES MAKI
  • NPI Number: 1699288555
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 52D0869821
LAB Type Other - COUNTY JAIL
Facility Name CHIPPEWA COUNTY JAIL
Street 50 E SPRUCE STREET
City CHIPPEWA FALLS
State WI
ZIP 54729
Phone 715 726-7705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Other - COUNTY JAIL
Lab Director JAMES MAKI

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