52D0979867 CLIA NUMBER - AMBULATORY SURGICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 52D0979867
  • Facility Name: AMBULATORY SURGICAL CENTER, LLC
  • Facility Address: 501 DOCTORS COURT
    OSHKOSH, WI
    ZIP 54901
  • Facility Phone: 920 236-3550
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ERIC LARSON
  • NPI Number: 1891717823
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0979867
LAB Type Ambulatory Surgery Center
Facility Name AMBULATORY SURGICAL CENTER, LLC
Street 501 DOCTORS COURT
City OSHKOSH
State WI
ZIP 54901
Phone 920 236-3550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. ERIC LARSON

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