52D2116892 CLIA NUMBER - GENETOX, LLC

Laboratory Demographics

  • CLIA Code: 52D2116892
  • Facility Name: GENETOX, LLC
  • Facility Address: 10012 W CAPITOL DR, STE 202
    WAUWATOSA, WI
    ZIP 53222
  • Facility Phone: 414 810-4844
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. NEIL QUIGLEY
  • NPI Number: 1740731611
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 52D2116892
LAB Type Physician Office
Facility Name GENETOX, LLC
Street 10012 W CAPITOL DR, STE 202
City WAUWATOSA
State WI
ZIP 53222
Phone 414 810-4844
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 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director DR. NEIL QUIGLEY

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