52D0897650 CLIA NUMBER - CARROLL UNIVERSITY STUDENT HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 52D0897650
  • Facility Name: CARROLL UNIVERSITY STUDENT HEALTH CENTER
  • Facility Address: 100 N EAST AVE
    WAUKESHA, WI
    ZIP 53186
  • Facility Phone: 262 524-7233
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: PAMELA DOLATA, APNP
  • NPI Number: 1740094192
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0897650
LAB Type School/Student Health Service
Facility Name CARROLL UNIVERSITY STUDENT HEALTH CENTER
Street 100 N EAST AVE
City WAUKESHA
State WI
ZIP 53186
Phone 262 524-7233
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type School/Student Health Service
Lab Director PAMELA DOLATA, APNP

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