52D1080382 CLIA NUMBER - ASCENSION MEDICAL GROUP FRANKLIN MOB

Laboratory Demographics

  • CLIA Code: 52D1080382
  • Facility Name: ASCENSION MEDICAL GROUP FRANKLIN MOB
  • Facility Address: 9969 S 27TH ST
    FRANKLIN, WI
    ZIP 53132
  • Facility Phone: 262 672-6669
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ZEENATH ASMA
  • NPI Number: 1013984194
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D1080382
LAB Type Physician Office
Facility Name ASCENSION MEDICAL GROUP FRANKLIN MOB
Street 9969 S 27TH ST
City FRANKLIN
State WI
ZIP 53132
Phone 262 672-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director DR. ZEENATH ASMA

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