52D0882616 CLIA NUMBER - AFFILIATED DERMATOLOGISTS SC

Laboratory Demographics

  • CLIA Code: 52D0882616
  • Facility Name: AFFILIATED DERMATOLOGISTS SC
  • Facility Address: 14555 W NATIONAL AVE SUITE 190
    NEW BERLIN, WI
    ZIP 53151
  • Facility Phone: 262 754-4488
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KATHLEEN S. STOKES
  • NPI Number: 1194711853
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D0882616
LAB Type Physician Office
Facility Name AFFILIATED DERMATOLOGISTS SC
Street 14555 W NATIONAL AVE SUITE 190
City NEW BERLIN
State WI
ZIP 53151
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 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director DR. KATHLEEN S. STOKES

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