52D2086322 CLIA NUMBER - CARE ATC - ANDES

Laboratory Demographics

  • CLIA Code: 52D2086322
  • Facility Name: CARE ATC - ANDES
  • Facility Address: 1400 E WISCONSIN STREET
    DELAVAN, WI
    ZIP 53115
  • Facility Phone: 918 779-7471
  • Facility Type: Other - HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: MS. MAGGIE SONNEMANN
  • NPI Number: 1871049486
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2086322
LAB Type Other - HEALTH CENTER
Facility Name CARE ATC - ANDES
Street 1400 E WISCONSIN STREET
City DELAVAN
State WI
ZIP 53115
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Other - HEALTH CENTER
Lab Director MS. MAGGIE SONNEMANN

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