52D2301471 CLIA NUMBER - INNER HAVEN WELLNESS

Laboratory Demographics

  • CLIA Code: 52D2301471
  • Facility Name: INNER HAVEN WELLNESS
  • Facility Address: 401 CHARMANY DR SUITE 320
    MADISON, WI
    ZIP 53719
  • Facility Phone: 414 899-0245
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. MARGHERITA MASCOLO
  • NPI Number: 1225780422
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2301471
LAB Type Independent
Facility Name INNER HAVEN WELLNESS
Street 401 CHARMANY DR SUITE 320
City MADISON
State WI
ZIP 53719
Phone 414 899-0245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Independent
Lab Director DR. MARGHERITA MASCOLO

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