52D2019162 CLIA NUMBER - AFFILIATED CLINICAL SERVICES

Laboratory Demographics

  • CLIA Code: 52D2019162
  • Facility Name: AFFILIATED CLINICAL SERVICES
  • Facility Address: 111 E WASHINGTON ST
    WEST BEND, WI
    ZIP 53095
  • Facility Phone: 262 338-2717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAJESH KUMAR
  • NPI Number: 1851473698
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2019162
LAB Type Physician Office
Facility Name AFFILIATED CLINICAL SERVICES
Street 111 E WASHINGTON ST
City WEST BEND
State WI
ZIP 53095
Phone 262 338-2717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director DR. RAJESH KUMAR

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