52D0855798 CLIA NUMBER - MILWAUKEE NEPHROLOGISTS SC

Laboratory Demographics

  • CLIA Code: 52D0855798
  • Facility Name: MILWAUKEE NEPHROLOGISTS SC
  • Facility Address: 2901 W KK RIVER PKWY STE 413
    MILWAUKEE, WI
    ZIP 53215
  • Facility Phone: 414 383-7744
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. AHMED M. MALIK
  • NPI Number: 1639515000
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0855798
LAB Type Physician Office
Facility Name MILWAUKEE NEPHROLOGISTS SC
Street 2901 W KK RIVER PKWY STE 413
City MILWAUKEE
State WI
ZIP 53215
Phone 414 383-7744
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. AHMED M. MALIK

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