52D1016785 CLIA NUMBER - BARABOO VA CBOC

Laboratory Demographics

  • CLIA Code: 52D1016785
  • Facility Name: BARABOO VA CBOC
  • Facility Address: 414 STATE ROAD 136
    BARABOO, WI
    ZIP 53913
  • Facility Phone: 608 256-1901
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS RAJ
  • NPI Number: 1972554913
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1016785
LAB Type Community Clinic
Facility Name BARABOO VA CBOC
Street 414 STATE ROAD 136
City BARABOO
State WI
ZIP 53913
Phone 608 256-1901
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 9/8/2003
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