52D2311297 CLIA NUMBER - EASTPARK MEDICAL CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 52D2311297
  • Facility Name: EASTPARK MEDICAL CENTER LABORATORY
  • Facility Address: 4621 EASTPARK BLVD
    MADISON, WI
    ZIP 53718
  • Facility Phone: 608 914-0474
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JOSEPH P. CONNOR
  • NPI Number: 1679809974
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 52D2311297
LAB Type Physician Office
Facility Name EASTPARK MEDICAL CENTER LABORATORY
Street 4621 EASTPARK BLVD
City MADISON
State WI
ZIP 53718
Phone 608 914-0474
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 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Physician Office
Lab Director DR. JOSEPH P. CONNOR

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This page was last updated on: 3/20/2025