52D0391788 CLIA NUMBER - AFFILIATED DERMATOLOGISTS SC

Laboratory Demographics

  • CLIA Code: 52D0391788
  • Facility Name: AFFILIATED DERMATOLOGISTS SC
  • Facility Address: 13800 W NORTH AVE STE 100
    BROOKFIELD, WI
    ZIP 53005
  • Facility Phone: 262 754-4488
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KATHLEEN S. STOKES
  • NPI Number: 1407849011
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D0391788
LAB Type Physician Office
Facility Name AFFILIATED DERMATOLOGISTS SC
Street 13800 W NORTH AVE STE 100
City BROOKFIELD
State WI
ZIP 53005
Phone 262 754-4488
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director DR. KATHLEEN S. STOKES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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