52D2236326 CLIA NUMBER - TRI-COUNTY HOSPITAL

Laboratory Demographics

  • CLIA Code: 52D2236326
  • Facility Name: TRI-COUNTY HOSPITAL
  • Facility Address: 18601 LINCOLN ST
    WHITEHALL, WI
    ZIP 54773
  • Facility Phone: 715 538-4361
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ASHLEY V. SELLS
  • NPI Number: 1639371677
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 52D2236326
LAB Type Ambulance
Facility Name TRI-COUNTY HOSPITAL
Street 18601 LINCOLN ST
City WHITEHALL
State WI
ZIP 54773
Phone 715 538-4361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Ambulance
Lab Director ASHLEY V. SELLS

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