52D2044509 CLIA NUMBER - COMMUNITY SERVICE ASSOCIATES, SC DBA PAUQUETTE CENTER

Laboratory Demographics

  • CLIA Code: 52D2044509
  • Facility Name: COMMUNITY SERVICE ASSOCIATES, SC DBA PAUQUETTE CENTER
  • Facility Address: 2901 HUNTERS TRAIL
    PORTAGE, WI
    ZIP 53901
  • Facility Phone: 608 742-5518
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS J. HAYES
  • NPI Number: 1780610923
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2044509
LAB Type Physician Office
Facility Name COMMUNITY SERVICE ASSOCIATES, SC DBA PAUQUETTE CENTER
Street 2901 HUNTERS TRAIL
City PORTAGE
State WI
ZIP 53901
Phone 608 742-5518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director DR. THOMAS J. HAYES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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