52D0950836 CLIA NUMBER - CHIPPEWA VALLEY TECHNICAL COLLEGE CLINICAL LABORATORY DEPT

Laboratory Demographics

  • CLIA Code: 52D0950836
  • Facility Name: CHIPPEWA VALLEY TECHNICAL COLLEGE CLINICAL LABORATORY DEPT
  • Facility Address: 615 W CLAIREMONT AVE
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 715 833-6420
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MS. BRIDGET OCONNELL
  • NPI Number: 1093868358
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 52D0950836
LAB Type School/Student Health Service
Facility Name CHIPPEWA VALLEY TECHNICAL COLLEGE CLINICAL LABORATORY DEPT
Street 615 W CLAIREMONT AVE
City EAU CLAIRE
State WI
ZIP 54701
Phone 715 833-6420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type School/Student Health Service
Lab Director MS. BRIDGET OCONNELL

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