52D0696920 CLIA NUMBER - CUDAHY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 52D0696920
  • Facility Name: CUDAHY HEALTH DEPARTMENT
  • Facility Address: 5050 S LAKE DRIVE
    CUDAHY, WI
    ZIP 53110
  • Facility Phone: 414 769-2239
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: DR. DAVID M. SHERMAN
  • NPI Number: 1568684058
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0696920
LAB Type Public Health Laboratories
Facility Name CUDAHY HEALTH DEPARTMENT
Street 5050 S LAKE DRIVE
City CUDAHY
State WI
ZIP 53110
Phone 414 769-2239
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 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Public Health Laboratories
Lab Director DR. DAVID M. SHERMAN

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