52D0965925 CLIA NUMBER - BELOIT REGIONAL HOSPICE

Laboratory Demographics

  • CLIA Code: 52D0965925
  • Facility Name: BELOIT REGIONAL HOSPICE
  • Facility Address: 655 THIRD ST SUITE 200
    BELOIT, WI
    ZIP 53511
  • Facility Phone: 608 363-7421
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MELISSA SALAAM
  • NPI Number: 1588667349
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 52D0965925
LAB Type Hospice
Facility Name BELOIT REGIONAL HOSPICE
Street 655 THIRD ST SUITE 200
City BELOIT
State WI
ZIP 53511
Phone 608 363-7421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Hospice
Lab Director MELISSA SALAAM

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