52D0389999 CLIA NUMBER - BRADY EAST STD CLINIC LTD

Laboratory Demographics

  • CLIA Code: 52D0389999
  • Facility Name: BRADY EAST STD CLINIC LTD
  • Facility Address: 1240 E BRADY ST
    MILWAUKEE, WI
    ZIP 53202
  • Facility Phone: 414 272-2144
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANDREW PETROLL, MD
  • NPI Number: 1306969613
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 52D0389999
LAB Type Community Clinic
Facility Name BRADY EAST STD CLINIC LTD
Street 1240 E BRADY ST
City MILWAUKEE
State WI
ZIP 53202
Phone 414 272-2144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Community Clinic
Lab Director ANDREW PETROLL, MD

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