52D2151254 CLIA NUMBER - ST GEORGE CLINICS, LLC

Laboratory Demographics

  • CLIA Code: 52D2151254
  • Facility Name: ST GEORGE CLINICS, LLC
  • Facility Address: 11111 WEST OKLAHOMA AVENUE
    WEST ALLIS, WI
    ZIP 53227
  • Facility Phone: 262 207-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NEBOJSA STEVANOVIC
  • NPI Number: 1194216416
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2151254
LAB Type Physician Office
Facility Name ST GEORGE CLINICS, LLC
Street 11111 WEST OKLAHOMA AVENUE
City WEST ALLIS
State WI
ZIP 53227
Phone 262 207-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director DR. NEBOJSA STEVANOVIC

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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