52D0884932 CLIA NUMBER - ST CLARE HOSPITAL

Laboratory Demographics

  • CLIA Code: 52D0884932
  • Facility Name: ST CLARE HOSPITAL
  • Facility Address: 707 14TH ST
    BARABOO, WI
    ZIP 53913
  • Facility Phone: 608 356-1510
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER PYNENBERG
  • NPI Number: 1639152770
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0884932
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ST CLARE HOSPITAL
Street 707 14TH ST
City BARABOO
State WI
ZIP 53913
Phone 608 356-1510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JENNIFER PYNENBERG

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