52D1098444 CLIA NUMBER - WAUSAU VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 52D1098444
  • Facility Name: WAUSAU VA OUTPATIENT CLINIC
  • Facility Address: 1105 EAST GRAND AVE
    ROTHSCHILD, WI
    ZIP 54474
  • Facility Phone: 715 842-2834
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS RAJ
  • NPI Number: 1275573677
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1098444
LAB Type Community Clinic
Facility Name WAUSAU VA OUTPATIENT CLINIC
Street 1105 EAST GRAND AVE
City ROTHSCHILD
State WI
ZIP 54474
Phone 715 842-2834
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 4/20/2009
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director THOMAS RAJ

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