52D2135848 CLIA NUMBER - WAUNAKEE COMMUNITY SCHOOL DISTRICT WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 52D2135848
  • Facility Name: WAUNAKEE COMMUNITY SCHOOL DISTRICT WELLNESS CLINIC
  • Facility Address: 1021 QUINN DRIVE, SUITE 100
    WAUNAKEE, WI
    ZIP 53597
  • Facility Phone: 608 849-2512
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TALIA FAIRFIELD
  • NPI Number: 1831578640
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2135848
LAB Type Physician Office
Facility Name WAUNAKEE COMMUNITY SCHOOL DISTRICT WELLNESS CLINIC
Street 1021 QUINN DRIVE, SUITE 100
City WAUNAKEE
State WI
ZIP 53597
Phone 608 849-2512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Physician Office
Lab Director TALIA FAIRFIELD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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