52D1014984 CLIA NUMBER - SHARED MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 52D1014984
  • Facility Name: SHARED MEDICAL SERVICES
  • Facility Address: 209 LIMESTONE PASS
    COTTAGE GROVE, WI
    ZIP 53527
  • Facility Phone: 608 663-6080
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LISA ARINGTON
  • NPI Number: 1295785079
  • Taxonomy: 261QR0208X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1014984
LAB Type Mobile Laboratory
Facility Name SHARED MEDICAL SERVICES
Street 209 LIMESTONE PASS
City COTTAGE GROVE
State WI
ZIP 53527
Phone 608 663-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Mobile Laboratory
Lab Director LISA ARINGTON

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