52D1020104 CLIA NUMBER - SURGERY CENTER LLC SURGERY CENTER LLC,THE

Laboratory Demographics

  • CLIA Code: 52D1020104
  • Facility Name: SURGERY CENTER LLC SURGERY CENTER LLC,THE
  • Facility Address: 3111 W RAWSON AVE STE 100
    FRANKLIN, WI
    ZIP 53132
  • Facility Phone: 414 761-2600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MS. FAWN ESSER-LIPP
  • NPI Number: 1902052350
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1020104
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER LLC SURGERY CENTER LLC,THE
Street 3111 W RAWSON AVE STE 100
City FRANKLIN
State WI
ZIP 53132
Phone 414 761-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Ambulatory Surgery Center
Lab Director MS. FAWN ESSER-LIPP

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