52D2091827 CLIA NUMBER - AFFILIATED HEALTH OF WISCONSIN

Laboratory Demographics

  • CLIA Code: 52D2091827
  • Facility Name: AFFILIATED HEALTH OF WISCONSIN
  • Facility Address: 6211 DURAND AVE, SUITE 202
    RACINE, WI
    ZIP 53406
  • Facility Phone: 262 898-0600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. AMY M. CIRIACKS

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CLIA Record

Field Name Field Value
CLIA Number 52D2091827
LAB Type Physician Office
Facility Name AFFILIATED HEALTH OF WISCONSIN
Street 6211 DURAND AVE, SUITE 202
City RACINE
State WI
ZIP 53406
Phone 262 898-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director MS. AMY M. CIRIACKS

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