52D0388660 CLIA NUMBER - ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE

Laboratory Demographics

  • CLIA Code: 52D0388660
  • Facility Name: ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE
  • Facility Address: 13111 N PORT WASHINGTON RD
    MEQUON, WI
    ZIP 53097
  • Facility Phone: 262 243-7402
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MASOUD GANJI
  • NPI Number: 1154894483
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0388660
LAB Type Hospital
Facility Name ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE
Street 13111 N PORT WASHINGTON RD
City MEQUON
State WI
ZIP 53097
Phone 262 243-7402
Certificate Type Certificate of Accreditation
Certificate Type Description 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.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. MASOUD GANJI

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