52D0389235 CLIA NUMBER - AURORA MEDICAL CLINIC - GREENFIELD SOUTHPOINTE

Laboratory Demographics

  • CLIA Code: 52D0389235
  • Facility Name: AURORA MEDICAL CLINIC - GREENFIELD SOUTHPOINTE
  • Facility Address: 4448 W LOOMIS RD STE 100
    GREENFIELD, WI
    ZIP 53220
  • Facility Phone: 414 281-5150
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOSEPH A. NICHOLAS
  • NPI Number: 1003024951
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D0389235
LAB Type Physician Office
Facility Name AURORA MEDICAL CLINIC - GREENFIELD SOUTHPOINTE
Street 4448 W LOOMIS RD STE 100
City GREENFIELD
State WI
ZIP 53220
Phone 414 281-5150
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. JOSEPH A. NICHOLAS

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