52D0935645 CLIA NUMBER - BELOIT COLLEGE/ BELOIT HOSPITAL

Laboratory Demographics

  • CLIA Code: 52D0935645
  • Facility Name: BELOIT COLLEGE/ BELOIT HOSPITAL
  • Facility Address: 700 COLLEGE STREET
    BELOIT, WI
    ZIP 53511
  • Facility Phone: 608 363-2000
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. ROGER KAPOOR
  • NPI Number: 1649462938
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0935645
LAB Type School/Student Health Service
Facility Name BELOIT COLLEGE/ BELOIT HOSPITAL
Street 700 COLLEGE STREET
City BELOIT
State WI
ZIP 53511
Phone 608 363-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2023
Certificate Expiration Date 5/21/2025
Facility Type School/Student Health Service
Lab Director DR. ROGER KAPOOR

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This page was last updated on: 3/20/2025