52D0983026 CLIA NUMBER - ESSENTIA HEALTH ST MARY'S - SUPERIOR CLINIC

Laboratory Demographics

  • CLIA Code: 52D0983026
  • Facility Name: ESSENTIA HEALTH ST MARY'S - SUPERIOR CLINIC
  • Facility Address: 3500 TOWER AVE
    SUPERIOR, WI
    ZIP 54880
  • Facility Phone: 218 786-4335
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: COLLEEN HILL
  • NPI Number: 1689349359
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0983026
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ESSENTIA HEALTH ST MARY'S - SUPERIOR CLINIC
Street 3500 TOWER AVE
City SUPERIOR
State WI
ZIP 54880
Phone 218 786-4335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director COLLEEN HILL

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