52D2094907 CLIA NUMBER - SUN PRAIRIE DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2094907
  • Facility Name: SUN PRAIRIE DIALYSIS
  • Facility Address: 719 BUNNY TRAIL
    SUN PRAIRIE, WI
    ZIP 53590
  • Facility Phone: 608 825-6556
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ATIF QURESHI
  • NPI Number: 1457747453
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2094907
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SUN PRAIRIE DIALYSIS
Street 719 BUNNY TRAIL
City SUN PRAIRIE
State WI
ZIP 53590
Phone 608 825-6556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ATIF QURESHI

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