52D2328268 CLIA NUMBER - MARATHON HEALTH BE WELL CENTER

Laboratory Demographics

  • CLIA Code: 52D2328268
  • Facility Name: MARATHON HEALTH BE WELL CENTER
  • Facility Address: 1300 N AIRPORT RD
    PHILLIPS, WI
    ZIP 54555
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE EMPLOYER HEALTH CE
  • Facility Type: Waiver
  • Lab Director: NICOLE L. KULWICKI
  • NPI Number: 1407489479
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 52D2328268
LAB Type Other - ONSITE EMPLOYER HEALTH CE
Facility Name MARATHON HEALTH BE WELL CENTER
Street 1300 N AIRPORT RD
City PHILLIPS
State WI
ZIP 54555
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Other - ONSITE EMPLOYER HEALTH CE
Lab Director NICOLE L. KULWICKI

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