52D0887068 CLIA NUMBER - MAINSTREET CLINIC

Laboratory Demographics

  • CLIA Code: 52D0887068
  • Facility Name: MAINSTREET CLINIC
  • Facility Address: 1001 W MAIN ST
    ASHLAND, WI
    ZIP 54806
  • Facility Phone: 715 682-5601
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANDREW MATHEUS
  • NPI Number: 1134137557
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0887068
LAB Type Physician Office
Facility Name MAINSTREET CLINIC
Street 1001 W MAIN ST
City ASHLAND
State WI
ZIP 54806
Phone 715 682-5601
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director DR. ANDREW MATHEUS

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