52D0936337 CLIA NUMBER - SURESH K MISRA MD

Laboratory Demographics

  • CLIA Code: 52D0936337
  • Facility Name: SURESH K MISRA MD
  • Facility Address: 3267 S 16TH
    MILWAUKEE, WI
    ZIP 53215
  • Facility Phone: (414) 643-7448
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURESH K. MISRA, MD
  • NPI Number: 1174588768
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0936337
LAB Type Physician Office
Facility Name SURESH K MISRA MD
Street 3267 S 16TH
City MILWAUKEE
State WI
ZIP 53215
Phone 4146437448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2025
Certificate Expiration Date 11/18/2027
Facility Type Physician Office
Lab Director SURESH K. MISRA, MD

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This page was last updated on: 6/29/2026