52D2242652 CLIA NUMBER - MARATHON COUNTY CHILD DEVELOPMENT AGENCY

Laboratory Demographics

  • CLIA Code: 52D2242652
  • Facility Name: MARATHON COUNTY CHILD DEVELOPMENT AGENCY
  • Facility Address: 616 GRANT ST
    WAUSAU, WI
    ZIP 54403
  • Facility Phone: 715 845-2947
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MS. JESSICA L. STENGLE
  • NPI Number: 1306968391
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 52D2242652
LAB Type School/Student Health Service
Facility Name MARATHON COUNTY CHILD DEVELOPMENT AGENCY
Street 616 GRANT ST
City WAUSAU
State WI
ZIP 54403
Phone 715 845-2947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type School/Student Health Service
Lab Director MS. JESSICA L. STENGLE

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