52D2265149 CLIA NUMBER - WILMOT UNION HIGH SCHOOL

Laboratory Demographics

  • CLIA Code: 52D2265149
  • Facility Name: WILMOT UNION HIGH SCHOOL
  • Facility Address: 11112 308TH AVE
    WILMOT, WI
    ZIP 53192
  • Facility Phone: 262 862-2351
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DEANNA L. JARNIGO
  • NPI Number: 1639358500
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D2265149
LAB Type School/Student Health Service
Facility Name WILMOT UNION HIGH SCHOOL
Street 11112 308TH AVE
City WILMOT
State WI
ZIP 53192
Phone 262 862-2351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type School/Student Health Service
Lab Director DEANNA L. JARNIGO

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