52D0896397 CLIA NUMBER - NEPHROLOGY ASSOCIATES, SC

Laboratory Demographics

  • CLIA Code: 52D0896397
  • Facility Name: NEPHROLOGY ASSOCIATES, SC
  • Facility Address: 1260 SENTRY DRIVE, STE 140
    WAUKESHA, WI
    ZIP 53186
  • Facility Phone: 262 524-1024
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LOGAN ELANGOVAN
  • NPI Number: 1871679514
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 52D0896397
LAB Type Physician Office
Facility Name NEPHROLOGY ASSOCIATES, SC
Street 1260 SENTRY DRIVE, STE 140
City WAUKESHA
State WI
ZIP 53186
Phone 262 524-1024
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 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director DR. LOGAN ELANGOVAN

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