52D0390569 CLIA NUMBER - EASTCASTLE PLACE

Laboratory Demographics

  • CLIA Code: 52D0390569
  • Facility Name: EASTCASTLE PLACE
  • Facility Address: 2505 E BRADFORD AVE
    MILWAUKEE, WI
    ZIP 53211
  • Facility Phone: 414 977-8539
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. LYNDA BOGDALA
  • NPI Number: 1518941798
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0390569
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EASTCASTLE PLACE
Street 2505 E BRADFORD AVE
City MILWAUKEE
State WI
ZIP 53211
Phone 414 977-8539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. LYNDA BOGDALA

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