52D0718752 CLIA NUMBER - WILLOWCREST HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0718752
  • Facility Name: WILLOWCREST HEALTH SERVICES
  • Facility Address: 3821 S CHICAGO AVE
    SOUTH MILWAUKEE, WI
    ZIP 53172
  • Facility Phone: 414 762-7336
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KASIE SMITH
  • NPI Number: 1740352178
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0718752
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLOWCREST HEALTH SERVICES
Street 3821 S CHICAGO AVE
City SOUTH MILWAUKEE
State WI
ZIP 53172
Phone 414 762-7336
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 KASIE SMITH

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