52D2033515 CLIA NUMBER - CLARK COUNTY OPC

Laboratory Demographics

  • CLIA Code: 52D2033515
  • Facility Name: CLARK COUNTY OPC
  • Facility Address: 8 JOHNSON STREET
    OWEN, WI
    ZIP 54460
  • Facility Phone: 715 229-4701
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS RAJ
  • NPI Number: 1497812697
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2033515
LAB Type Community Clinic
Facility Name CLARK COUNTY OPC
Street 8 JOHNSON STREET
City OWEN
State WI
ZIP 54460
Phone 715 229-4701
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 12/5/2011
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