52D2142306 CLIA NUMBER - GUNDERSEN HEALTH SYSTEM MOHS LABORATORY

Laboratory Demographics

CLIA Number: 52D2142306

Facility Name: GUNDERSEN HEALTH SYSTEM MOHS LABORATORY

Facility Address:
3111 GUNDERSEN DR, SUITE CON 3168
ONALASKA, WI
ZIP 54650
Get Directions

Facility Phone Number: 608 775-2382

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1396412441

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	52D2142306
LAB Type	Physician Office
Facility Name	GUNDERSEN HEALTH SYSTEM MOHS LABORATORY
Street	3111 GUNDERSEN DR, SUITE CON 3168
City	ONALASKA
State	WI
ZIP	54650
Phone	608 775-2382
CertificateType	2
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024