52D2135314 CLIA NUMBER - REFORMEDICINE, SC

Laboratory Demographics

  • CLIA Code: 52D2135314
  • Facility Name: REFORMEDICINE, SC
  • Facility Address: 1309 STOUT ROAD
    MENOMONIE, WI
    ZIP 54751
  • Facility Phone: 715 514-2827
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID J. USHER
  • NPI Number: 1487489787
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2135314
LAB Type Physician Office
Facility Name REFORMEDICINE, SC
Street 1309 STOUT ROAD
City MENOMONIE
State WI
ZIP 54751
Phone 715 514-2827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2023
Certificate Expiration Date 8/20/2025
Facility Type Physician Office
Lab Director DR. DAVID J. USHER

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This page was last updated on: 6/4/2025