52D1037628 CLIA NUMBER - STEVANOVIC FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 52D1037628
  • Facility Name: STEVANOVIC FAMILY CLINIC
  • Facility Address: 11111 W OKLAHOMA AVE
    WEST ALLIS, WI
    ZIP 53227
  • Facility Phone: 414 546-8000
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. NEBOJSA STEVANOVIC
  • NPI Number: 1508830076
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1037628
LAB Type Physician Office
Facility Name STEVANOVIC FAMILY CLINIC
Street 11111 W OKLAHOMA AVE
City WEST ALLIS
State WI
ZIP 53227
Phone 414 546-8000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director DR. NEBOJSA STEVANOVIC

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