52D1014453 CLIA NUMBER - MARSHFIELD CLINIC WISCONSIN RAPIDS

Laboratory Demographics

  • CLIA Code: 52D1014453
  • Facility Name: MARSHFIELD CLINIC WISCONSIN RAPIDS
  • Facility Address: 220 24TH ST SOUTH
    WISCONSIN RAPIDS, WI
    ZIP 54494
  • Facility Phone: 715 424-8625
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. RAFAEL MEDINA-FLORES
  • NPI Number: 1780760330
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D1014453
LAB Type Physician Office
Facility Name MARSHFIELD CLINIC WISCONSIN RAPIDS
Street 220 24TH ST SOUTH
City WISCONSIN RAPIDS
State WI
ZIP 54494
Phone 715 424-8625
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 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director DR. RAFAEL MEDINA-FLORES

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