52D2145542 CLIA NUMBER - UNIFIED COMMUNITY SERVICES - DODGEVILLE

Laboratory Demographics

  • CLIA Code: 52D2145542
  • Facility Name: UNIFIED COMMUNITY SERVICES - DODGEVILLE
  • Facility Address: 1122 PROFESSIONAL DR
    DODGEVILLE, WI
    ZIP 53533
  • Facility Phone: 608 935-2776
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MS. BECKY R. MANNING
  • NPI Number: 1053468066
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 52D2145542
LAB Type Community Clinic
Facility Name UNIFIED COMMUNITY SERVICES - DODGEVILLE
Street 1122 PROFESSIONAL DR
City DODGEVILLE
State WI
ZIP 53533
Phone 608 935-2776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Community Clinic
Lab Director MS. BECKY R. MANNING

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