52D1021667 CLIA NUMBER - THEDACARE CANCER CARE OSHKOSH

Laboratory Demographics

  • CLIA Code: 52D1021667
  • Facility Name: THEDACARE CANCER CARE OSHKOSH
  • Facility Address: 491 S WASHBURN ST
    OSHKOSH, WI
    ZIP 54904
  • Facility Phone: 920 454-6917
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KARLA SENDELBACH-ELIZONDO
  • NPI Number: 1194812784
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D1021667
LAB Type Physician Office
Facility Name THEDACARE CANCER CARE OSHKOSH
Street 491 S WASHBURN ST
City OSHKOSH
State WI
ZIP 54904
Phone 920 454-6917
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/3/2023
Certificate Expiration Date 7/2/2025
Facility Type Physician Office
Lab Director DR. KARLA SENDELBACH-ELIZONDO

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This page was last updated on: 6/4/2025