52D1087493 CLIA NUMBER - BOSCOBEL AREA HEALTH CARE - HOSPITAL NURSING

Laboratory Demographics

  • CLIA Code: 52D1087493
  • Facility Name: BOSCOBEL AREA HEALTH CARE - HOSPITAL NURSING
  • Facility Address: 205 PARKER ST
    BOSCOBEL, WI
    ZIP 53805
  • Facility Phone: 608 375-4112
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MS. THERESA L. BRAUDT
  • NPI Number: 1225217607
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 52D1087493
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BOSCOBEL AREA HEALTH CARE - HOSPITAL NURSING
Street 205 PARKER ST
City BOSCOBEL
State WI
ZIP 53805
Phone 608 375-4112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MS. THERESA L. BRAUDT

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