52D2316307 CLIA NUMBER - BRISTOL SCHOOL DISTRICT #1

Laboratory Demographics

  • CLIA Code: 52D2316307
  • Facility Name: BRISTOL SCHOOL DISTRICT #1
  • Facility Address: 2021 83RD STREET
    BRISTOL, WI
    ZIP 53104
  • Facility Phone: 262 857-2334
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: WHITTNEY N. KOEPNICK
  • NPI Number: 1215116272
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D2316307
LAB Type School/Student Health Service
Facility Name BRISTOL SCHOOL DISTRICT #1
Street 2021 83RD STREET
City BRISTOL
State WI
ZIP 53104
Phone 262 857-2334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type School/Student Health Service
Lab Director WHITTNEY N. KOEPNICK

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