52D0681642 CLIA NUMBER - MLK HERITAGE HEALTH CENTER MILWAUKEE HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 52D0681642
  • Facility Name: MLK HERITAGE HEALTH CENTER MILWAUKEE HEALTH SERVICES INC
  • Facility Address: 2555 N MARTIN LUTHER KING DR
    MILWAUKEE, WI
    ZIP 53212
  • Facility Phone: 414 267-2641
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. ARONICA V. WILLIAMS
  • NPI Number: 1316980709
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0681642
LAB Type Community Clinic
Facility Name MLK HERITAGE HEALTH CENTER MILWAUKEE HEALTH SERVICES INC
Street 2555 N MARTIN LUTHER KING DR
City MILWAUKEE
State WI
ZIP 53212
Phone 414 267-2641
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 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Community Clinic
Lab Director DR. ARONICA V. WILLIAMS

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