52D2301573 CLIA NUMBER - TOWER CLOCK SURGERY CENTER APPLETON

Laboratory Demographics

  • CLIA Code: 52D2301573
  • Facility Name: TOWER CLOCK SURGERY CENTER APPLETON
  • Facility Address: 3120 N RICHMOND STREET
    APPLETON, WI
    ZIP 54911
  • Facility Phone: 920 497-1810
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STACY RUKAMP
  • NPI Number: 1568244192
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2301573
LAB Type Ambulatory Surgery Center
Facility Name TOWER CLOCK SURGERY CENTER APPLETON
Street 3120 N RICHMOND STREET
City APPLETON
State WI
ZIP 54911
Phone 920 497-1810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Ambulatory Surgery Center
Lab Director STACY RUKAMP

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