52D0983337 CLIA NUMBER - EDGEWOOD COLLEGE HEALTH SERVICES

Laboratory Demographics

CLIA Number: 52D0983337

Facility Name: EDGEWOOD COLLEGE HEALTH SERVICES

Facility Address:
1000 EDGEWOOD COLLEGE DR
MADISON, WI
ZIP 53711
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Facility Phone Number: 608 663-8334

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1437604691

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D0983337
LAB Type	School/Student Health Service
Facility Name	EDGEWOOD COLLEGE HEALTH SERVICES
Street	1000 EDGEWOOD COLLEGE DR
City	MADISON
State	WI
ZIP	53711
Phone	608 663-8334
CertificateType	4
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024