52D2123817 CLIA NUMBER - SARAH'S LAB

Laboratory Demographics

  • CLIA Code: 52D2123817
  • Facility Name: SARAH'S LAB
  • Facility Address: 213 N 4TH STREET
    WATERTOWN, WI
    ZIP 53094
  • Facility Phone: 920 757-8407
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MS. SARAH KISER
  • NPI Number: 1013243328
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 52D2123817
LAB Type Mobile Laboratory
Facility Name SARAH'S LAB
Street 213 N 4TH STREET
City WATERTOWN
State WI
ZIP 53094
Phone 920 757-8407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Mobile Laboratory
Lab Director MS. SARAH KISER

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