52D0957898 CLIA NUMBER - WEST BEND SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 52D0957898
  • Facility Name: WEST BEND SURGERY CENTER, LLC
  • Facility Address: 3212 PLEASANT VALLEY ROAD
    WEST BEND, WI
    ZIP 53095
  • Facility Phone: 262 334-6165
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MEGHAN OCONNELL
  • NPI Number: 1447269790
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0957898
LAB Type Ambulatory Surgery Center
Facility Name WEST BEND SURGERY CENTER, LLC
Street 3212 PLEASANT VALLEY ROAD
City WEST BEND
State WI
ZIP 53095
Phone 262 334-6165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. MEGHAN OCONNELL

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