52D2271248 CLIA NUMBER - PITTSVILLE SCHOOL

Laboratory Demographics

  • CLIA Code: 52D2271248
  • Facility Name: PITTSVILLE SCHOOL
  • Facility Address: 5459 ELEMENTARY AVE
    PITTSVILLE, WI
    ZIP 54466
  • Facility Phone: 715 884-5222
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JASON KNOTT
  • NPI Number: 1649200791
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 52D2271248
LAB Type School/Student Health Service
Facility Name PITTSVILLE SCHOOL
Street 5459 ELEMENTARY AVE
City PITTSVILLE
State WI
ZIP 54466
Phone 715 884-5222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type School/Student Health Service
Lab Director JASON KNOTT

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