52D0913549 CLIA NUMBER - QUADMED CLINIC WEST ALLIS

Laboratory Demographics

  • CLIA Code: 52D0913549
  • Facility Name: QUADMED CLINIC WEST ALLIS
  • Facility Address: 555 S 108TH ST
    WEST ALLIS, WI
    ZIP 53214
  • Facility Phone: 414 566-3891
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. HEATHER TARCZEWSKI
  • NPI Number: 1790855047
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0913549
LAB Type Physician Office
Facility Name QUADMED CLINIC WEST ALLIS
Street 555 S 108TH ST
City WEST ALLIS
State WI
ZIP 53214
Phone 414 566-3891
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 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director MS. HEATHER TARCZEWSKI

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