52D2118881 CLIA NUMBER - COMPREHENSIVE ORTHOPAEDICS, SC

Laboratory Demographics

  • CLIA Code: 52D2118881
  • Facility Name: COMPREHENSIVE ORTHOPAEDICS, SC
  • Facility Address: 7401 104TH AVE, #110
    KENOSHA, WI
    ZIP 53142
  • Facility Phone: 262 764-5595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN C. PICK-JACOBS
  • NPI Number: 1295717445
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 52D2118881
LAB Type Physician Office
Facility Name COMPREHENSIVE ORTHOPAEDICS, SC
Street 7401 104TH AVE, #110
City KENOSHA
State WI
ZIP 53142
Phone 262 764-5595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director DR. JOHN C. PICK-JACOBS

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