52D2174441 CLIA NUMBER - AURORA HEALTH CENTER AAC- HARTFORD

Laboratory Demographics

  • CLIA Code: 52D2174441
  • Facility Name: AURORA HEALTH CENTER AAC- HARTFORD
  • Facility Address: 1640 E SUMNER ST
    HARTFORD, WI
    ZIP 53027
  • Facility Phone: 262 670-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATIE DODGE
  • NPI Number: 1447270889
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 52D2174441
LAB Type Physician Office
Facility Name AURORA HEALTH CENTER AAC- HARTFORD
Street 1640 E SUMNER ST
City HARTFORD
State WI
ZIP 53027
Phone 262 670-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director KATIE DODGE

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