52D0695974 CLIA NUMBER - SHOREVIEW PEDIATRICS SC

Laboratory Demographics

  • CLIA Code: 52D0695974
  • Facility Name: SHOREVIEW PEDIATRICS SC
  • Facility Address: 2524 E WEBSTER PLACE #301
    MILWAUKEE, WI
    ZIP 53211
  • Facility Phone: 414 272-7009
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PERRY KRUMENACHER
  • NPI Number: 1144433236
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 52D0695974
LAB Type Physician Office
Facility Name SHOREVIEW PEDIATRICS SC
Street 2524 E WEBSTER PLACE #301
City MILWAUKEE
State WI
ZIP 53211
Phone 414 272-7009
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director DR. PERRY KRUMENACHER

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