52D2239633 CLIA NUMBER - TAMARACK HEALTH HAYWARD CLINIC

Laboratory Demographics

  • CLIA Code: 52D2239633
  • Facility Name: TAMARACK HEALTH HAYWARD CLINIC
  • Facility Address: 11040 N STATE RD 77
    HAYWARD, WI
    ZIP 54843
  • Facility Phone: 715 934-4241
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: HALLEY A. PITTSLEY
  • NPI Number: 1386316537
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2239633
LAB Type Rural Health Clinic
Facility Name TAMARACK HEALTH HAYWARD CLINIC
Street 11040 N STATE RD 77
City HAYWARD
State WI
ZIP 54843
Phone 715 934-4241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Rural Health Clinic
Lab Director HALLEY A. PITTSLEY

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