52D1034644 CLIA NUMBER - FROEDTERT SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 52D1034644
  • Facility Name: FROEDTERT SURGERY CENTER, LLC
  • Facility Address: 840 N 87TH ST
    MILWAUKEE, WI
    ZIP 53226
  • Facility Phone: 414 805-9500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CARLY OETTINGER
  • NPI Number: 1508851213
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1034644
LAB Type Ambulatory Surgery Center
Facility Name FROEDTERT SURGERY CENTER, LLC
Street 840 N 87TH ST
City MILWAUKEE
State WI
ZIP 53226
Phone 414 805-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Ambulatory Surgery Center
Lab Director CARLY OETTINGER

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