52D2312518 CLIA NUMBER - SZMANDA DENTAL CENTER

Laboratory Demographics

  • CLIA Code: 52D2312518
  • Facility Name: SZMANDA DENTAL CENTER
  • Facility Address: 227071 HUMMINGBIRD ROAD
    WAUSAU, WI
    ZIP 54401
  • Facility Phone: 715 845-3200
  • Facility Type: Other - DENTAL OFFICE
  • Facility Type: Waiver
  • Lab Director: PAUL W. SZMANDA
  • NPI Number: 1598911802
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 52D2312518
LAB Type Other - DENTAL OFFICE
Facility Name SZMANDA DENTAL CENTER
Street 227071 HUMMINGBIRD ROAD
City WAUSAU
State WI
ZIP 54401
Phone 715 845-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Other - DENTAL OFFICE
Lab Director PAUL W. SZMANDA

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