52D2222445 CLIA NUMBER - WISCONSIN AVIATION MEDICINE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 52D2222445
  • Facility Name: WISCONSIN AVIATION MEDICINE SPECIALISTS
  • Facility Address: 8300 AIRPORT ROAD
    MIDDLETON, WI
    ZIP 53562
  • Facility Phone: 608 335-0760
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. ASHLEY G. ANDERSON JR
  • NPI Number: 1588850150
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2222445
LAB Type Practitioner Other
Facility Name WISCONSIN AVIATION MEDICINE SPECIALISTS
Street 8300 AIRPORT ROAD
City MIDDLETON
State WI
ZIP 53562
Phone 608 335-0760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Practitioner Other
Lab Director DR. ASHLEY G. ANDERSON JR

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