52D0391885 CLIA NUMBER - MILWAUKEE COUNTY BEHAVIORAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0391885
  • Facility Name: MILWAUKEE COUNTY BEHAVIORAL HEALTH SERVICES
  • Facility Address: 1220 W VLIET STREET, 3RD FLOOR ATTN MEDICAL STAFF ADMIN
    MILWAUKEE, WI
    ZIP 53205
  • Facility Phone: 414 257-7217
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. TONY W. THRASHER
  • NPI Number: 1932595972
  • Taxonomy: 3336I0012X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0391885
LAB Type Community Clinic
Facility Name MILWAUKEE COUNTY BEHAVIORAL HEALTH SERVICES
Street 1220 W VLIET STREET, 3RD FLOOR ATTN MEDICAL STAFF ADMIN
City MILWAUKEE
State WI
ZIP 53205
Phone 414 257-7217
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 Community Clinic
Lab Director DR. TONY W. THRASHER

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