52D2225369 CLIA NUMBER - ROSENDALE- BRANDON SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 52D2225369
  • Facility Name: ROSENDALE- BRANDON SCHOOL DISTRICT
  • Facility Address: 301 W DIVISION ST
    ROSENDALE, WI
    ZIP 54974
  • Facility Phone: 920 872-5402
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CHRYSTAL L. MELI
  • NPI Number: 1902071384
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D2225369
LAB Type School/Student Health Service
Facility Name ROSENDALE- BRANDON SCHOOL DISTRICT
Street 301 W DIVISION ST
City ROSENDALE
State WI
ZIP 54974
Phone 920 872-5402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2023
Certificate Expiration Date 5/19/2025
Facility Type School/Student Health Service
Lab Director CHRYSTAL L. MELI

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This page was last updated on: 3/20/2025