52D2274175 CLIA NUMBER - HUDSON IMAGING PARTNERS

Laboratory Demographics

  • CLIA Code: 52D2274175
  • Facility Name: HUDSON IMAGING PARTNERS
  • Facility Address: 2651 HILLCREST DR, SUITE 103
    HUDSON, WI
    ZIP 54016
  • Facility Phone: 715 961-1201
  • Facility Type: Other - RADIOLOGY CLINIC
  • Facility Type: Waiver
  • Lab Director: JODI GOVERONSKI
  • NPI Number: 1346971371
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 52D2274175
LAB Type Other - RADIOLOGY CLINIC
Facility Name HUDSON IMAGING PARTNERS
Street 2651 HILLCREST DR, SUITE 103
City HUDSON
State WI
ZIP 54016
Phone 715 961-1201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Other - RADIOLOGY CLINIC
Lab Director JODI GOVERONSKI

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