52D2305503 CLIA NUMBER - CLEAR PATH CLINIC SC

Laboratory Demographics

  • CLIA Code: 52D2305503
  • Facility Name: CLEAR PATH CLINIC SC
  • Facility Address: 26 PHIPPS AVE
    RICE LAKE, WI
    ZIP 54868
  • Facility Phone: (715) 434-1058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT ABATECOLA
  • NPI Number: 1215778576
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2305503
LAB Type Physician Office
Facility Name CLEAR PATH CLINIC SC
Street 26 PHIPPS AVE
City RICE LAKE
State WI
ZIP 54868
Phone 7154341058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director DR. ROBERT ABATECOLA

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This page was last updated on: 5/18/2026