52D0705008 CLIA NUMBER - METHODIST MANOR HEALTH CENTER, INC

Laboratory Demographics

  • CLIA Code: 52D0705008
  • Facility Name: METHODIST MANOR HEALTH CENTER, INC
  • Facility Address: 8615 WEST BELOIT ROAD
    WEST ALLIS, WI
    ZIP 53227
  • Facility Phone: 414 607-4100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SARFRAZ SIDHU
  • NPI Number: 1518934264
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0705008
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name METHODIST MANOR HEALTH CENTER, INC
Street 8615 WEST BELOIT ROAD
City WEST ALLIS
State WI
ZIP 53227
Phone 414 607-4100
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 DR. SARFRAZ SIDHU

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This page was last updated on: 3/20/2025