52D0676414 CLIA NUMBER - QUAD MED CLINIC-SUSSEX

Laboratory Demographics

  • CLIA Code: 52D0676414
  • Facility Name: QUAD MED CLINIC-SUSSEX
  • Facility Address: W227 N6103 SUSSEX RD
    SUSSEX, WI
    ZIP 53089
  • Facility Phone: 414 566-8020
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. HEATHER TARCZEWSKI
  • NPI Number: 1912378431
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0676414
LAB Type Physician Office
Facility Name QUAD MED CLINIC-SUSSEX
Street W227 N6103 SUSSEX RD
City SUSSEX
State WI
ZIP 53089
Phone 414 566-8020
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director MS. HEATHER TARCZEWSKI

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