52D0869645 CLIA NUMBER - ALLERGY IMMUNOLOGY DIAGNOSTIC LAB CENTER

Laboratory Demographics

  • CLIA Code: 52D0869645
  • Facility Name: ALLERGY IMMUNOLOGY DIAGNOSTIC LAB CENTER
  • Facility Address: 8701 WATERTOWN PLANK RD MFRC RM 5073
    MILWAUKEE, WI
    ZIP 53226
  • Facility Phone: 414 955-4931
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JAMES W. VERBSKY
  • NPI Number: 1699829192
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 52D0869645
LAB Type Independent
Facility Name ALLERGY IMMUNOLOGY DIAGNOSTIC LAB CENTER
Street 8701 WATERTOWN PLANK RD MFRC RM 5073
City MILWAUKEE
State WI
ZIP 53226
Phone 414 955-4931
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 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Independent
Lab Director DR. JAMES W. VERBSKY

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