52D2009773 CLIA NUMBER - BELOIT HEALTH SYSTEM WESTSIDE CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 52D2009773
LAB Type Physician Office
Facility Name BELOIT HEALTH SYSTEM WESTSIDE CLINIC
Street 1735 MADISON ROAD
City BELOIT
State WI
ZIP 53511
Phone 608 363-7510
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director DR. STEPHEN R. RUDISILL

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