52D2187228 CLIA NUMBER - EAU CLAIRE CENTER MOHS SURGERY LAB

Laboratory Demographics

  • CLIA Code: 52D2187228
  • Facility Name: EAU CLAIRE CENTER MOHS SURGERY LAB
  • Facility Address: 2116 CRAIG ROAD
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 715 221-6300
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. PETER LEE
  • NPI Number: 1871159103
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 52D2187228
LAB Type Physician Office
Facility Name EAU CLAIRE CENTER MOHS SURGERY LAB
Street 2116 CRAIG ROAD
City EAU CLAIRE
State WI
ZIP 54701
Phone 715 221-6300
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director DR. PETER LEE

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