52D2126472 CLIA NUMBER - GUNDERSEN HEALTH SYSTEM HOLMEN CLINIC

Laboratory Demographics

  • CLIA Code: 52D2126472
  • Facility Name: GUNDERSEN HEALTH SYSTEM HOLMEN CLINIC
  • Facility Address: 500 HOLMEN DRIVE, SUITE 502
    HOLMEN, WI
    ZIP 54636
  • Facility Phone: 608 399-3091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAWN STOEHR
  • NPI Number: 1225503428
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2126472
LAB Type Physician Office
Facility Name GUNDERSEN HEALTH SYSTEM HOLMEN CLINIC
Street 500 HOLMEN DRIVE, SUITE 502
City HOLMEN
State WI
ZIP 54636
Phone 608 399-3091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director DAWN STOEHR

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