52D2296278 CLIA NUMBER - SSM HEALTH AT WORK JANESVILLE

Laboratory Demographics

CLIA Number: 52D2296278

Facility Name: SSM HEALTH AT WORK JANESVILLE

Facility Address:
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
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Facility Phone Number: 608 252-8003

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548654676

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	52D2296278
LAB Type	Physician Office
Facility Name	SSM HEALTH AT WORK JANESVILLE
Street	3200 E RACINE ST
City	JANESVILLE
State	WI
ZIP	53546
Phone	608 252-8003
CertificateType	4
CertificateEffectiveDate	12/26/2023
CertificateExpirationDate	12/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024