52D2121908 CLIA NUMBER - BADGER CARE CLINIC

Laboratory Demographics

  • CLIA Code: 52D2121908
  • Facility Name: BADGER CARE CLINIC
  • Facility Address: 210 N MAIN ST STE 102
    DE FOREST, WI
    ZIP 53532
  • Facility Phone: 608 842-2660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SALAM U. SYED
  • NPI Number: 1417498718
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2121908
LAB Type Physician Office
Facility Name BADGER CARE CLINIC
Street 210 N MAIN ST STE 102
City DE FOREST
State WI
ZIP 53532
Phone 608 842-2660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director DR. SALAM U. SYED

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