52D2139020 CLIA NUMBER - SARGENTO HEALTH & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 52D2139020
  • Facility Name: SARGENTO HEALTH & WELLNESS CENTER
  • Facility Address: 460 SOUTH 8TH STREET
    HILBERT, WI
    ZIP 54129
  • Facility Phone: 802 857-0400
  • Facility Type: Other - EMPLOYER HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: AMANDA OTTE
  • NPI Number: 1356856074
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2139020
LAB Type Other - EMPLOYER HEALTH CENTER
Facility Name SARGENTO HEALTH & WELLNESS CENTER
Street 460 SOUTH 8TH STREET
City HILBERT
State WI
ZIP 54129
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Other - EMPLOYER HEALTH CENTER
Lab Director AMANDA OTTE

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