52D2094901 CLIA NUMBER - UPLAND HILLS HEALTH CLINIC - MT HOREB

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Laboratory Demographics

CLIA Number: 52D2094901

Facility Name: UPLAND HILLS HEALTH CLINIC - MT HOREB

Facility Address:
1809 SPRINGDALE ST
MOUNT HOREB, WI
ZIP 53572
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Facility Phone Number: 608 437-8033

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1245628452

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	52D2094901
LAB Type	Community Clinic
Facility Name	UPLAND HILLS HEALTH CLINIC - MT HOREB
Street	1809 SPRINGDALE ST
City	MOUNT HOREB
State	WI
ZIP	53572
Phone	608 437-8033
CertificateType	3
CertificateEffectiveDate	3/10/2024
CertificateExpirationDate	3/9/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024