52D2114110 CLIA NUMBER - MARQUETTE COUNTY HUMAN SERVICES

Laboratory Demographics

  • CLIA Code: 52D2114110
  • Facility Name: MARQUETTE COUNTY HUMAN SERVICES
  • Facility Address: 480 UNDERWOOD AVE
    MONTELLO, WI
    ZIP 53949
  • Facility Phone: 608 297-3124
  • Facility Type: Other - CTY HUMAN SVCS DEPT MHSAS
  • Facility Type: Waiver
  • Lab Director: MS. MANDY J. STANLEY
  • NPI Number: 1821479239
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 52D2114110
LAB Type Other - CTY HUMAN SVCS DEPT MHSAS
Facility Name MARQUETTE COUNTY HUMAN SERVICES
Street 480 UNDERWOOD AVE
City MONTELLO
State WI
ZIP 53949
Phone 608 297-3124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Other - CTY HUMAN SVCS DEPT MHSAS
Lab Director MS. MANDY J. STANLEY

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