52D1107603 CLIA NUMBER - IN THE BEGINNING MIDWIFERY SERVICE

Laboratory Demographics

  • CLIA Code: 52D1107603
  • Facility Name: IN THE BEGINNING MIDWIFERY SERVICE
  • Facility Address: 105 PINECREST LANE, SUITE D PO BOX 402
    IOLA, WI
    ZIP 54945
  • Facility Phone: 715 445-2277
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JANE C. PETERSON, LM
  • NPI Number: 1992154306
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1107603
LAB Type Practitioner Other
Facility Name IN THE BEGINNING MIDWIFERY SERVICE
Street 105 PINECREST LANE, SUITE D PO BOX 402
City IOLA
State WI
ZIP 54945
Phone 715 445-2277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Practitioner Other
Lab Director JANE C. PETERSON, LM

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