52D2223710 CLIA NUMBER - SURGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 52D2223710
  • Facility Name: SURGICAL ASSOCIATES
  • Facility Address: 2606 STEWART AVE STE 100
    WAUSAU, WI
    ZIP 54401
  • Facility Phone: 715 847-2022
  • Facility Type: Other - OFFICE BASED PROCEDURE CE
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT BREBRICK
  • NPI Number: 1710910476
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 52D2223710
LAB Type Other - OFFICE BASED PROCEDURE CE
Facility Name SURGICAL ASSOCIATES
Street 2606 STEWART AVE STE 100
City WAUSAU
State WI
ZIP 54401
Phone 715 847-2022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Other - OFFICE BASED PROCEDURE CE
Lab Director DR. ROBERT BREBRICK

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