52D2328314 CLIA NUMBER - BSH, SC DBA ADVANCED CARE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 52D2328314
  • Facility Name: BSH, SC DBA ADVANCED CARE SPECIALISTS
  • Facility Address: 5439 DURAND AVE, STE 100
    RACINE, WI
    ZIP 53406
  • Facility Phone: 262 898-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW T. JOHNSON
  • NPI Number: 1467811331
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2328314
LAB Type Physician Office
Facility Name BSH, SC DBA ADVANCED CARE SPECIALISTS
Street 5439 DURAND AVE, STE 100
City RACINE
State WI
ZIP 53406
Phone 262 898-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director DR. MATTHEW T. JOHNSON

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