52D2150315 CLIA NUMBER - MADISON MEDICAL AFFILIATES, INC

Laboratory Demographics

  • CLIA Code: 52D2150315
  • Facility Name: MADISON MEDICAL AFFILIATES, INC
  • Facility Address: 12831 N PORT WASHINGTON RD
    MEQUON, WI
    ZIP 53097
  • Facility Phone: 414 274-6264
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CARMEN BALDING

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CLIA Record

Field Name Field Value
CLIA Number 52D2150315
LAB Type Physician Office
Facility Name MADISON MEDICAL AFFILIATES, INC
Street 12831 N PORT WASHINGTON RD
City MEQUON
State WI
ZIP 53097
Phone 414 274-6264
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director DR. CARMEN BALDING

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