52D2318458 CLIA NUMBER - REFORMEDICINE SC

Laboratory Demographics

  • CLIA Code: 52D2318458
  • Facility Name: REFORMEDICINE SC
  • Facility Address: 1752 DORSET LN
    NEW RICHMOND, WI
    ZIP 54017
  • Facility Phone: 715 514-2827
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA BUTTERBRODT
  • NPI Number: 1124853411
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2318458
LAB Type Physician Office
Facility Name REFORMEDICINE SC
Street 1752 DORSET LN
City NEW RICHMOND
State WI
ZIP 54017
Phone 715 514-2827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director DANA BUTTERBRODT

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