52D2229804 CLIA NUMBER - MAYVILLE SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 52D2229804
  • Facility Name: MAYVILLE SCHOOL DISTRICT
  • Facility Address: 500 N CLARK ST
    MAYVILLE, WI
    ZIP 53050
  • Facility Phone: 920 387-7976
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SCOTT SABOL
  • NPI Number: 1275799629
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 52D2229804
LAB Type School/Student Health Service
Facility Name MAYVILLE SCHOOL DISTRICT
Street 500 N CLARK ST
City MAYVILLE
State WI
ZIP 53050
Phone 920 387-7976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type School/Student Health Service
Lab Director SCOTT SABOL

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