52D2005047 CLIA NUMBER - WISCONSIN RAPIDS VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 52D2005047
  • Facility Name: WISCONSIN RAPIDS VA OUTPATIENT CLINIC
  • Facility Address: 700 HALE STREET
    WISCONSIN RAPIDS, WI
    ZIP 54495
  • Facility Phone: 715 424-4682
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS RAJ
  • NPI Number: 1144274390
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 52D2005047
LAB Type Community Clinic
Facility Name WISCONSIN RAPIDS VA OUTPATIENT CLINIC
Street 700 HALE STREET
City WISCONSIN RAPIDS
State WI
ZIP 54495
Phone 715 424-4682
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 3/18/2010
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