52D0391462 CLIA NUMBER - TOSA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 52D0391462
  • Facility Name: TOSA PEDIATRICS
  • Facility Address: 8651 W NORTH AVE
    WAUWATOSA, WI
    ZIP 53226
  • Facility Phone: 414 774-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY D. MARSHO
  • NPI Number: 1588621536
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 52D0391462
LAB Type Physician Office
Facility Name TOSA PEDIATRICS
Street 8651 W NORTH AVE
City WAUWATOSA
State WI
ZIP 53226
Phone 414 774-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director DR. TIMOTHY D. MARSHO

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