Certification: American Board of Pediatrics - 1981 American Board of Medical Genetics Clinical Genetics - 1982 Clinical Biochemical Genetics – 1993, 2003, 2005, 2007, 2009
LABORATORY NAME: Fatty Acid Oxidation LAP NUMBER: 1780401 CAP ACCREDITATION EXPIRES : September 2011 LAST JCAHO ACCREDITATION DATE: February 2009 CLIA IDENTIFICATION NO.: 52D0661957 MEDICARE NO.: 160058 MEDI-CAL PROVIDER NO.: XYP173950 STATE LICENSE NO.: Wisconsin 42007 FEDERAL TAX ID NO.: 39-0806261N HCFA LICENSE NO.: 16-0058 UPIN #: A01404