52D2106958 CLIA NUMBER - TAI DIAGNOSTICS, INC

Laboratory Demographics

  • CLIA Code: 52D2106958
  • Facility Name: TAI DIAGNOSTICS, INC
  • Facility Address: 10101 INNOVATION DR, SUITE 600
    WAUWATOSA, WI
    ZIP 53226
  • Facility Phone: 414 831-9970
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. PAULA E. NORTH
  • NPI Number: 1164938916
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 52D2106958
LAB Type Independent
Facility Name TAI DIAGNOSTICS, INC
Street 10101 INNOVATION DR, SUITE 600
City WAUWATOSA
State WI
ZIP 53226
Phone 414 831-9970
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Independent
Lab Director DR. PAULA E. NORTH

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