52D0900644 CLIA NUMBER - BELOIT MEMORIAL HOSPITAL BLOOD GAS LAB

Laboratory Demographics

  • CLIA Code: 52D0900644
  • Facility Name: BELOIT MEMORIAL HOSPITAL BLOOD GAS LAB
  • Facility Address: 1969 W HART RD
    BELOIT, WI
    ZIP 53511
  • Facility Phone: (608) 364-5190
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIS JOHN RIEKER
  • NPI Number: 1346362068
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0900644
LAB Type Hospital
Facility Name BELOIT MEMORIAL HOSPITAL BLOOD GAS LAB
Street 1969 W HART RD
City BELOIT
State WI
ZIP 53511
Phone 6083645190
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Hospital
Lab Director DR. WILLIS JOHN RIEKER

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This page was last updated on: 5/18/2026