52D2050339 CLIA NUMBER - OZAUKEE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 52D2050339
  • Facility Name: OZAUKEE SURGERY CENTER
  • Facility Address: 10945 N PORT WASHINGTON RD
    MEQUON, WI
    ZIP 53092
  • Facility Phone: 414 312-8090
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. CHANDUR P. PIRYANI
  • NPI Number: 1780943951
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2050339
LAB Type Ambulatory Surgery Center
Facility Name OZAUKEE SURGERY CENTER
Street 10945 N PORT WASHINGTON RD
City MEQUON
State WI
ZIP 53092
Phone 414 312-8090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. CHANDUR P. PIRYANI

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