52D2321918 CLIA NUMBER - WELLBE WISCONSIN SC

Laboratory Demographics

  • CLIA Code: 52D2321918
  • Facility Name: WELLBE WISCONSIN SC
  • Facility Address: 209 S CENTRAL AVENUE, SUITE 300
    MARSHFIELD, WI
    ZIP 54449
  • Facility Phone: (312) 463-4903
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. KATRINA BOOTH
  • NPI Number: 1801622881
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2321918
LAB Type Home Health Agency
Facility Name WELLBE WISCONSIN SC
Street 209 S CENTRAL AVENUE, SUITE 300
City MARSHFIELD
State WI
ZIP 54449
Phone 3124634903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Home Health Agency
Lab Director DR. KATRINA BOOTH

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