52D2293350 CLIA NUMBER - DODGE COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 52D2293350
  • Facility Name: DODGE COUNTY JAIL
  • Facility Address: 216 W CENTER ST
    JUNEAU, WI
    ZIP 53039
  • Facility Phone: 920 386-3734
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: MICHELLE VIETS
  • NPI Number: 1407067945
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2293350
LAB Type Other - JAIL
Facility Name DODGE COUNTY JAIL
Street 216 W CENTER ST
City JUNEAU
State WI
ZIP 53039
Phone 920 386-3734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Other - JAIL
Lab Director MICHELLE VIETS

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