52D0390958 CLIA NUMBER - ASCENSION MEDICAL GROUP WISCONSIN - ST FRANCIS EUCLID BUILDING INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 52D0390958
  • Facility Name: ASCENSION MEDICAL GROUP WISCONSIN - ST FRANCIS EUCLID BUILDING INTERNAL MEDICINE
  • Facility Address: 3201 S 16TH ST, SUITE 1000
    MILWAUKEE, WI
    ZIP 53215
  • Facility Phone: 414 389-3033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW STEMM
  • NPI Number: 1407924129
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0390958
LAB Type Physician Office
Facility Name ASCENSION MEDICAL GROUP WISCONSIN - ST FRANCIS EUCLID BUILDING INTERNAL MEDICINE
Street 3201 S 16TH ST, SUITE 1000
City MILWAUKEE
State WI
ZIP 53215
Phone 414 389-3033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director DR. MATTHEW STEMM

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This page was last updated on: 6/4/2025