52D2319802 CLIA NUMBER - PREMIER PEDIATRICS WI LLC DBA THRIVE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 52D2319802
  • Facility Name: PREMIER PEDIATRICS WI LLC DBA THRIVE PEDIATRICS
  • Facility Address: 2607 N GRANDVIEW BLVD SUITE 104
    WAUKESHA, WI
    ZIP 53188
  • Facility Phone: 262 217-0939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH V. KUROWSKI
  • NPI Number: 1730984774
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2319802
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS WI LLC DBA THRIVE PEDIATRICS
Street 2607 N GRANDVIEW BLVD SUITE 104
City WAUKESHA
State WI
ZIP 53188
Phone 262 217-0939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director DR. ELIZABETH V. KUROWSKI

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