52D2046827 CLIA NUMBER - AURORA MUSKEGO CLINIC DBA LAKESHORE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 52D2046827
  • Facility Name: AURORA MUSKEGO CLINIC DBA LAKESHORE MEDICAL CENTER
  • Facility Address: S68 W15500 JANESVILLE RD
    MUSKEGO, WI
    ZIP 53150
  • Facility Phone: 414 422-4037
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN J. DUDOR

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CLIA Record

Field Name Field Value
CLIA Number 52D2046827
LAB Type Physician Office
Facility Name AURORA MUSKEGO CLINIC DBA LAKESHORE MEDICAL CENTER
Street S68 W15500 JANESVILLE RD
City MUSKEGO
State WI
ZIP 53150
Phone 414 422-4037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director DR. BRIAN J. DUDOR

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This page was last updated on: 6/4/2025