52D1037328 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC- RIVER FALLS

Laboratory Demographics

  • CLIA Code: 52D1037328
  • Facility Name: M HEALTH FAIRVIEW CLINIC- RIVER FALLS
  • Facility Address: 319 S MAIN STREET
    RIVER FALLS, WI
    ZIP 54022
  • Facility Phone: 612 672-4182
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MRS. KATHLEEN M. WILSON
  • NPI Number: 1811550155
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 52D1037328
LAB Type Community Clinic
Facility Name M HEALTH FAIRVIEW CLINIC- RIVER FALLS
Street 319 S MAIN STREET
City RIVER FALLS
State WI
ZIP 54022
Phone 612 672-4182
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 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Community Clinic
Lab Director MRS. KATHLEEN M. WILSON

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