52D2316184 CLIA NUMBER - QUADMED HEALTH AND WELLNESS CENTER - METALCRAFT

Laboratory Demographics

  • CLIA Code: 52D2316184
  • Facility Name: QUADMED HEALTH AND WELLNESS CENTER - METALCRAFT
  • Facility Address: 11 SOUTH MAIN STREET
    MAYVILLE, WI
    ZIP 53050
  • Facility Phone: 920 644-0010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. COURTNEY YOUNG
  • NPI Number: 1639728496
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2316184
LAB Type Physician Office
Facility Name QUADMED HEALTH AND WELLNESS CENTER - METALCRAFT
Street 11 SOUTH MAIN STREET
City MAYVILLE
State WI
ZIP 53050
Phone 920 644-0010
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