52D1019090 CLIA NUMBER - OSHKOSH WEST DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D1019090
  • Facility Name: OSHKOSH WEST DIALYSIS
  • Facility Address: 1950 VENTURE DRIVE
    OSHKOSH, WI
    ZIP 54902
  • Facility Phone: 920 303-0650
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. TARUNDEEP KAUR
  • NPI Number: 1184994030
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1019090
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OSHKOSH WEST DIALYSIS
Street 1950 VENTURE DRIVE
City OSHKOSH
State WI
ZIP 54902
Phone 920 303-0650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. TARUNDEEP KAUR

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