52D0876255 CLIA NUMBER - CAPITOL LAKES HEALTH CENTER EXT 2021

Laboratory Demographics

  • CLIA Code: 52D0876255
  • Facility Name: CAPITOL LAKES HEALTH CENTER EXT 2021
  • Facility Address: 334 W DOTY ST
    MADISON, WI
    ZIP 53703
  • Facility Phone: 608 283-2100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. KRISTI VATER
  • NPI Number: 1902877632
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0876255
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CAPITOL LAKES HEALTH CENTER EXT 2021
Street 334 W DOTY ST
City MADISON
State WI
ZIP 53703
Phone 608 283-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. KRISTI VATER

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