52D2167284 CLIA NUMBER - SOUTHWESTERN WI COMMUNITY ACTION PROGRAM, INC (SWCAP) WIC

Laboratory Demographics

  • CLIA Code: 52D2167284
  • Facility Name: SOUTHWESTERN WI COMMUNITY ACTION PROGRAM, INC (SWCAP) WIC
  • Facility Address: 149 N IOWA ST
    DODGEVILLE, WI
    ZIP 53533
  • Facility Phone: 608 935-2326
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MS. AMY S. GRABER
  • NPI Number: 1891937090
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 52D2167284
LAB Type Community Clinic
Facility Name SOUTHWESTERN WI COMMUNITY ACTION PROGRAM, INC (SWCAP) WIC
Street 149 N IOWA ST
City DODGEVILLE
State WI
ZIP 53533
Phone 608 935-2326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Community Clinic
Lab Director MS. AMY S. GRABER

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