52D0879964 CLIA NUMBER - WAUSAU SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 52D0879964
  • Facility Name: WAUSAU SURGERY CENTER
  • Facility Address: 3801 STEWART AVENUE
    WAUSAU, WI
    ZIP 54401
  • Facility Phone: 715 842-4490
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MS. CARMEL GALSTER
  • NPI Number: 1851356786
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0879964
LAB Type Ambulatory Surgery Center
Facility Name WAUSAU SURGERY CENTER
Street 3801 STEWART AVENUE
City WAUSAU
State WI
ZIP 54401
Phone 715 842-4490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Ambulatory Surgery Center
Lab Director MS. CARMEL GALSTER

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