52D2275373 CLIA NUMBER - QUALITY ADDICTION MANAGEMENT INC DBA KENOSHA COMPREHENSIVE TREATMENT CTR

Laboratory Demographics

  • CLIA Code: 52D2275373
  • Facility Name: QUALITY ADDICTION MANAGEMENT INC DBA KENOSHA COMPREHENSIVE TREATMENT CTR
  • Facility Address: 7991 SHERIDAN RD
    KENOSHA, WI
    ZIP 53143
  • Facility Phone: 920 265-5704
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: SARAH NEERDAELS
  • NPI Number: 1184354979
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2275373
LAB Type Comp. Outpatient Rehab Facility
Facility Name QUALITY ADDICTION MANAGEMENT INC DBA KENOSHA COMPREHENSIVE TREATMENT CTR
Street 7991 SHERIDAN RD
City KENOSHA
State WI
ZIP 53143
Phone 920 265-5704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director SARAH NEERDAELS

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