52D1045440 CLIA NUMBER - SHORELINE SKIN CORPORATION

Laboratory Demographics

  • CLIA Code: 52D1045440
  • Facility Name: SHORELINE SKIN CORPORATION
  • Facility Address: 3427 SUPERIOR AVE
    SHEBOYGAN, WI
    ZIP 53081
  • Facility Phone: 920 457-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ALOYS L. TAUSCHECK JR
  • NPI Number: 1730193152
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D1045440
LAB Type Physician Office
Facility Name SHORELINE SKIN CORPORATION
Street 3427 SUPERIOR AVE
City SHEBOYGAN
State WI
ZIP 53081
Phone 920 457-3376
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 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director DR. ALOYS L. TAUSCHECK JR

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