52D2230143 CLIA NUMBER - LODI SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 52D2230143
  • Facility Name: LODI SCHOOL DISTRICT
  • Facility Address: 115 SCHOOL STREET
    LODI, WI
    ZIP 53555
  • Facility Phone: 608 592-3855
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JANELLE SIVAM
  • NPI Number: 1285828749
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D2230143
LAB Type School/Student Health Service
Facility Name LODI SCHOOL DISTRICT
Street 115 SCHOOL STREET
City LODI
State WI
ZIP 53555
Phone 608 592-3855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type School/Student Health Service
Lab Director JANELLE SIVAM

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