BEAVER DAM REFERENCE LABORATORY
NPI 1144533084
Clinical Medical Laboratory in Beaver Dam, WI

Active since July 20, 2010CLIA 52D0662012 · Accreditation
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(888) 754-0451 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaver Dam Reference Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAVER DAM REFERENCE LABORATORY (NPI 1144533084) is a healthcare organization registered as a clinical medical laboratory in Beaver Dam, Wisconsin and active in the NPI registry since July 2010. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Joshua Pierce, President, as its authorized official.

NPPES Registry Identity

NPI1144533084
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCASITAS DIAGNOSTICS INC
Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027
Mailing Address11490 Burbank Blvd, Ste 1dNorth Hollywood, CA 91601-2389 · (888) 754-0451
Organization SubpartNo
Authorized OfficialJoshua PiercePresident · (888) 754-0451
Enumeration DateJuly 20, 2010
Last NPPES UpdateJuly 21, 2010
NPI 1144533084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in WI · 53D0662012
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
707 S UNIVERSITY AVE, Beaver Dam, WI 53916

Other Names 1

Doing Business AsBeaver Dam Reference Laboratory

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0662012

Beaver Dam Reference Laboratory · Beaver Dam, WI
Active · expires Feb 27, 2027
CLIA Number52D0662012
Laboratory TypeIndependent
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Lily Manon
Laboratory Phone(920) 887-4014
Laboratory LocationBeaver Dam Reference Laboratory707 S University Ave, Beaver Dam, WI 53916
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physician Assistant
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Anesthesiology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physical Therapist
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Internal Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dietitian, Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casitas Diagnostics Inc's NPI number?

The NPI number for Casitas Diagnostics Inc is 1144533084. It was assigned to this organization in the NPPES registry on July 20, 2010. The provider is doing business as Beaver Dam Reference Laboratory.

Where is Casitas Diagnostics Inc located?

Casitas Diagnostics Inc is located at 707 S University Ave, Beaver Dam, WI 53916. The listed phone number is (888) 754-0451.

What is Casitas Diagnostics Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Casitas Diagnostics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0662012) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Casitas Diagnostics Inc was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.