52D1067588 CLIA NUMBER - RIPON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 52D1067588
  • Facility Name: RIPON MEDICAL CENTER
  • Facility Address: 845 PARKSIDE ST
    RIPON, WI
    ZIP 54971
  • Facility Phone: 920 748-0550
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: DR. SHANNON RATHKE
  • NPI Number: 1598841629
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 52D1067588
LAB Type Hospital
Facility Name RIPON MEDICAL CENTER
Street 845 PARKSIDE ST
City RIPON
State WI
ZIP 54971
Phone 920 748-0550
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 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Hospital
Lab Director DR. SHANNON RATHKE

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