52D0922535 CLIA NUMBER - OAKLEAF CLINICS - SOUTHSIDE MEDICAL

Laboratory Demographics

  • CLIA Code: 52D0922535
  • Facility Name: OAKLEAF CLINICS - SOUTHSIDE MEDICAL
  • Facility Address: 714 W HAMILTON AVE
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: (715) 830-9990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL J. SMITH
  • NPI Number: 1306238191
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0922535
LAB Type Physician Office
Facility Name OAKLEAF CLINICS - SOUTHSIDE MEDICAL
Street 714 W HAMILTON AVE
City EAU CLAIRE
State WI
ZIP 54701
Phone 7158309990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director DR. MICHAEL J. SMITH

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