52D2282406 CLIA NUMBER - ORTHOMIDWEST SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 52D2282406
  • Facility Name: ORTHOMIDWEST SURGERY CENTER, LLC
  • Facility Address: 2102 FREEMAN PARKWAY
    BELOIT, WI
    ZIP 53511
  • Facility Phone: 815 381-7431
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN BOTTROS
  • NPI Number: 1740918887
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2282406
LAB Type Ambulatory Surgery Center
Facility Name ORTHOMIDWEST SURGERY CENTER, LLC
Street 2102 FREEMAN PARKWAY
City BELOIT
State WI
ZIP 53511
Phone 815 381-7431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHN BOTTROS

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