52D2295719 CLIA NUMBER - FOX VALLEY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 52D2295719
  • Facility Name: FOX VALLEY SURGERY CENTER, LLC
  • Facility Address: 1600 N CASALOMA DR
    APPLETON, WI
    ZIP 54913
  • Facility Phone: (920) 268-1516
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RAYMON SOHN
  • NPI Number: 1033802509
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2295719
LAB Type Ambulatory Surgery Center
Facility Name FOX VALLEY SURGERY CENTER, LLC
Street 1600 N CASALOMA DR
City APPLETON
State WI
ZIP 54913
Phone 9202681516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2025
Certificate Expiration Date 12/14/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RAYMON SOHN

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This page was last updated on: 6/29/2026