52D2316180 CLIA NUMBER - QUADMED WESTBEND HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 52D2316180
  • Facility Name: QUADMED WESTBEND HEALTH CENTER
  • Facility Address: 1305 CHESTNUT STREET
    WEST BEND, WI
    ZIP 53095
  • Facility Phone: 262 384-3324
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. COURTNEY YOUNG
  • NPI Number: 1134509599
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2316180
LAB Type Physician Office
Facility Name QUADMED WESTBEND HEALTH CENTER
Street 1305 CHESTNUT STREET
City WEST BEND
State WI
ZIP 53095
Phone 262 384-3324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director DR. COURTNEY YOUNG

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