52D2157693 CLIA NUMBER - HORTONVILLE AREA SCHOOL DISTRICT/ THEDACARE ONSITE CLINIC

Laboratory Demographics

  • CLIA Code: 52D2157693
  • Facility Name: HORTONVILLE AREA SCHOOL DISTRICT/ THEDACARE ONSITE CLINIC
  • Facility Address: 106 N OLK STREET
    HORTONVILLE, WI
    ZIP 54944
  • Facility Phone: 920 454-7850
  • Facility Type: Other - ONSITE CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. TRACEY ONEAL-HOOKER
  • NPI Number: 1467643536
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D2157693
LAB Type Other - ONSITE CLINIC
Facility Name HORTONVILLE AREA SCHOOL DISTRICT/ THEDACARE ONSITE CLINIC
Street 106 N OLK STREET
City HORTONVILLE
State WI
ZIP 54944
Phone 920 454-7850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Other - ONSITE CLINIC
Lab Director DR. TRACEY ONEAL-HOOKER

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