52D2305838 CLIA NUMBER - SAAK AMBULATORY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 52D2305838
  • Facility Name: SAAK AMBULATORY SURGERY CENTER LLC
  • Facility Address: 18200 W CAPITAL DR SUITE 100
    BROOKFIELD, WI
    ZIP 53045
  • Facility Phone: 262 444-5149
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. SUMANA KODURI
  • NPI Number: 1306527403
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2305838
LAB Type Ambulatory Surgery Center
Facility Name SAAK AMBULATORY SURGERY CENTER LLC
Street 18200 W CAPITAL DR SUITE 100
City BROOKFIELD
State WI
ZIP 53045
Phone 262 444-5149
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. SUMANA KODURI

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