52D2288029 CLIA NUMBER - TAREEN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 52D2288029
  • Facility Name: TAREEN DERMATOLOGY
  • Facility Address: 2651 HILLCREST DR, STE 304
    HUDSON, WI
    ZIP 54016
  • Facility Phone: 651 633-6883
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RYAN HOLZWARTH
  • NPI Number: 1215479530
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2288029
LAB Type Physician Office
Facility Name TAREEN DERMATOLOGY
Street 2651 HILLCREST DR, STE 304
City HUDSON
State WI
ZIP 54016
Phone 651 633-6883
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director DR. RYAN HOLZWARTH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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