52D1101784 CLIA NUMBER - QUEST DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 52D1101784
  • Facility Name: QUEST DIAGNOSTICS LLC
  • Facility Address: 130 WARREN STREET, BLDG C
    BEAVER DAM, WI
    ZIP 53916
  • Facility Phone: 920 210-1781
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LAEEKHA ALI
  • NPI Number: 1851901466
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 52D1101784
LAB Type Independent
Facility Name QUEST DIAGNOSTICS LLC
Street 130 WARREN STREET, BLDG C
City BEAVER DAM
State WI
ZIP 53916
Phone 920 210-1781
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 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Independent
Lab Director DR. LAEEKHA ALI

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