52D2148877 CLIA NUMBER - QUADMED- HARTFORD QG HEALTH SUITE

Laboratory Demographics

  • CLIA Code: 52D2148877
  • Facility Name: QUADMED- HARTFORD QG HEALTH SUITE
  • Facility Address: 1900 WEST SUMNER STREET
    HARTFORD, WI
    ZIP 53027
  • Facility Phone: 262 673-1143
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. COURTNEY YOUNG
  • NPI Number: 1942792254
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2148877
LAB Type Physician Office
Facility Name QUADMED- HARTFORD QG HEALTH SUITE
Street 1900 WEST SUMNER STREET
City HARTFORD
State WI
ZIP 53027
Phone 262 673-1143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director DR. COURTNEY YOUNG

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