52D0998776 CLIA NUMBER - MARSHFIELD MEDICAL CENTER DICKINSON, FLORENCE CENTER

Laboratory Demographics

  • CLIA Code: 52D0998776
  • Facility Name: MARSHFIELD MEDICAL CENTER DICKINSON, FLORENCE CENTER
  • Facility Address: 1010 OLIVE AVE
    FLORENCE, WI
    ZIP 54121
  • Facility Phone: 715 528-4775
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CHARLENE M. GREENE
  • NPI Number: 1013363258
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 52D0998776
LAB Type Rural Health Clinic
Facility Name MARSHFIELD MEDICAL CENTER DICKINSON, FLORENCE CENTER
Street 1010 OLIVE AVE
City FLORENCE
State WI
ZIP 54121
Phone 715 528-4775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Rural Health Clinic
Lab Director CHARLENE M. GREENE

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This page was last updated on: 6/4/2025