52D0898319 CLIA NUMBER - UPLAND HILLS HEALTH CLINIC- DODGEVILLE

Laboratory Demographics

CLIA Number: 52D0898319

Facility Name: UPLAND HILLS HEALTH CLINIC- DODGEVILLE

Facility Address:
1204 JOSEPH ST
DODGEVILLE, WI
ZIP 53533
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Facility Phone Number: 608 935-2308

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1093299166

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	52D0898319
LAB Type	Community Clinic
Facility Name	UPLAND HILLS HEALTH CLINIC- DODGEVILLE
Street	1204 JOSEPH ST
City	DODGEVILLE
State	WI
ZIP	53533
Phone	608 935-2308
CertificateType	3
CertificateEffectiveDate	1/1/2023
CertificateExpirationDate	12/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024