52D1077279 CLIA NUMBER - COLUMBIA COUNTY JAIL HEALTH SERVICES UNIT

Laboratory Demographics

  • CLIA Code: 52D1077279
  • Facility Name: COLUMBIA COUNTY JAIL HEALTH SERVICES UNIT
  • Facility Address: 403 JACKSON ST
    PORTAGE, WI
    ZIP 53901
  • Facility Phone: 608 742-6476
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: REBECCA COLRUD
  • NPI Number: 1114190485
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 52D1077279
LAB Type Other
Facility Name COLUMBIA COUNTY JAIL HEALTH SERVICES UNIT
Street 403 JACKSON ST
City PORTAGE
State WI
ZIP 53901
Phone 608 742-6476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Other
Lab Director REBECCA COLRUD

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