52D0930691 CLIA NUMBER - CHIPPEWA VALLEY HEALTH CLINIC INC

Laboratory Demographics

  • CLIA Code: 52D0930691
  • Facility Name: CHIPPEWA VALLEY HEALTH CLINIC INC
  • Facility Address: 1030 OAK RIDGE DRIVE
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 715 839-8477
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. LORI J. WHITIS
  • NPI Number: 1073042578
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 52D0930691
LAB Type Community Clinic
Facility Name CHIPPEWA VALLEY HEALTH CLINIC INC
Street 1030 OAK RIDGE DRIVE
City EAU CLAIRE
State WI
ZIP 54701
Phone 715 839-8477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Community Clinic
Lab Director DR. LORI J. WHITIS

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