52D1060116 CLIA NUMBER - LA POINTE COMMUNITY CLINIC INC MARGIE A FREDERICKSON, MD

Laboratory Demographics

  • CLIA Code: 52D1060116
  • Facility Name: LA POINTE COMMUNITY CLINIC INC MARGIE A FREDERICKSON, MD
  • Facility Address: 241 BIG BAY RD
    LA POINTE, WI
    ZIP 54850
  • Facility Phone: 715 747-2722
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARGIE A. FREDERICKSON
  • NPI Number: 1003079740
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D1060116
LAB Type Physician Office
Facility Name LA POINTE COMMUNITY CLINIC INC MARGIE A FREDERICKSON, MD
Street 241 BIG BAY RD
City LA POINTE
State WI
ZIP 54850
Phone 715 747-2722
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director DR. MARGIE A. FREDERICKSON

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This page was last updated on: 6/4/2025