52D2217142 CLIA NUMBER - MILWAUKEE SURGICENTER, LLC

Laboratory Demographics

  • CLIA Code: 52D2217142
  • Facility Name: MILWAUKEE SURGICENTER, LLC
  • Facility Address: 4202 W OAKWOOD PARK CT
    FRANKLIN, WI
    ZIP 53132
  • Facility Phone: 262 297-7246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS STAUSS
  • NPI Number: 1124612924
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2217142
LAB Type Ambulatory Surgery Center
Facility Name MILWAUKEE SURGICENTER, LLC
Street 4202 W OAKWOOD PARK CT
City FRANKLIN
State WI
ZIP 53132
Phone 262 297-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. THOMAS STAUSS

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