1. Home
  2. Directory
  3. Wisconsin
  4. Oconomowoc
  5. Voluntary Or Charitable
  6. NPI Profile

LAKE AREA FREE CLINIC
NPI 1508391079
Voluntary or Charitable in Oconomowoc, WI

Active since April 21, 2017CLIA 52D0987626 · Waiver
856 B ARMOUR ROAD, OCONOMOWOC, WI 50366(262) 569-4990 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Area Free Clinic NPPES

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

LAKE AREA FREE CLINIC (NPI 1508391079) is a healthcare organization registered as a voluntary or charitable in Oconomowoc, Wisconsin and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Mary Reich, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508391079
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameLAKE AREA FREE CLINIC
Location Address856 B ARMOUR ROADOconomowoc, WI 50366
Mailing Address856 B Armour RoadOconomowoc, WI 50366 · (262) 569-4990
Phone(262) 569-4990
Organization SubpartNo
Authorized OfficialMary ReichExecutive Director · (262) 569-4990
Enumeration DateApril 21, 2017
✔ NPI 1508391079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
856 B ARMOUR ROAD, Oconomowoc, WI 50366
Open in Google Maps ↗

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 Waiver 52D0987626

Lake Area Free Clinic · Oconomowoc, WI
Active · expires Jun 7, 2027
CLIA Number52D0987626
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorCrystal Cepican
Laboratory Phone(262) 569-4990
Laboratory LocationLake Area Free Clinic856 Armour Rd Ste B, Oconomowoc, WI 53066
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lake Area Free Clinic's NPI number?

The NPI number for Lake Area Free Clinic is 1508391079. It was assigned to this organization in the NPPES registry on April 21, 2017.

Where is Lake Area Free Clinic located?

Lake Area Free Clinic is located at 856 B Armour Road, Oconomowoc, WI 50366. The listed phone number is (262) 569-4990.

What is Lake Area Free Clinic's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Does Lake Area Free Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0987626) is associated with this NPI, valid through June 7, 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 Lake Area Free Clinic was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.