52D2257821 CLIA NUMBER - PORTAGE COMMUNITY SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 52D2257821
  • Facility Name: PORTAGE COMMUNITY SCHOOL DISTRICT
  • Facility Address: 301 E COLLINS ST
    PORTAGE, WI
    ZIP 53901
  • Facility Phone: 608 742-4879
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: THERESA STOLPA
  • NPI Number: 1396910741
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D2257821
LAB Type School/Student Health Service
Facility Name PORTAGE COMMUNITY SCHOOL DISTRICT
Street 301 E COLLINS ST
City PORTAGE
State WI
ZIP 53901
Phone 608 742-4879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type School/Student Health Service
Lab Director THERESA STOLPA

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