52D2022274 CLIA NUMBER - KENOSHA URGICARE

Laboratory Demographics

  • CLIA Code: 52D2022274
  • Facility Name: KENOSHA URGICARE
  • Facility Address: 6430 GREEN BAY ROAD SUITE 104
    KENOSHA, WI
    ZIP 53142
  • Facility Phone: 262 925-0535
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. NAUMAN A. SIDDIQI
  • NPI Number: 1629373204
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2022274
LAB Type Other - URGENT CARE
Facility Name KENOSHA URGICARE
Street 6430 GREEN BAY ROAD SUITE 104
City KENOSHA
State WI
ZIP 53142
Phone 262 925-0535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Other - URGENT CARE
Lab Director DR. NAUMAN A. SIDDIQI

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