52D2225056 CLIA NUMBER - MEQUON VASCULAR ASSOCIATES, SC

Laboratory Demographics

  • CLIA Code: 52D2225056
  • Facility Name: MEQUON VASCULAR ASSOCIATES, SC
  • Facility Address: 17280 W NORTH AVE, STE 200
    BROOKFIELD, WI
    ZIP 53045
  • Facility Phone: 262 240-9640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY T. SABATINO
  • NPI Number: 1619485976
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2225056
LAB Type Physician Office
Facility Name MEQUON VASCULAR ASSOCIATES, SC
Street 17280 W NORTH AVE, STE 200
City BROOKFIELD
State WI
ZIP 53045
Phone 262 240-9640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director DR. JEFFREY T. SABATINO

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