52D0912674 CLIA NUMBER - CITY OF WAUWATOSA HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 52D0912674

Facility Name: CITY OF WAUWATOSA HEALTH DEPARTMENT

Facility Address:
7725 W NORTH AVE
WAUWATOSA, WI
ZIP 53213
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Facility Phone Number: 414 479-8936

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1427184357

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	52D0912674
LAB Type	Public Health Laboratories
Facility Name	CITY OF WAUWATOSA HEALTH DEPARTMENT
Street	7725 W NORTH AVE
City	WAUWATOSA
State	WI
ZIP	53213
Phone	414 479-8936
CertificateType	4
CertificateEffectiveDate	1/20/2024
CertificateExpirationDate	1/19/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024