52D1012361 CLIA NUMBER - LA CROSS VA CLINIC

Laboratory Demographics

  • CLIA Code: 52D1012361
  • Facility Name: LA CROSS VA CLINIC
  • Facility Address: 4000 HIGHWAY 16 VALLEY VIEW MALL ANNEX
    LA CROSSE, WI
    ZIP 54601
  • Facility Phone: 608 784-3886
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS RAJ
  • NPI Number: 1649302399
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1012361
LAB Type Community Clinic
Facility Name LA CROSS VA CLINIC
Street 4000 HIGHWAY 16 VALLEY VIEW MALL ANNEX
City LA CROSSE
State WI
ZIP 54601
Phone 608 784-3886
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/8/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director THOMAS RAJ

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