52D0888912 CLIA NUMBER - MCCARTHY NURSING HOME

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Field Name	Field Value
CLIA Number	52D0888912
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	MCCARTHY NURSING HOME
Street	124 S MONROE STREET
City	STOUGHTON
State	WI
ZIP	53589
Phone	608 873-7462
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/15/2024
Certificate Expiration Date	7/14/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	MICHAEL J. MCCARTHY

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