52D0931324 CLIA NUMBER - MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA MADISON EAST COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 52D0931324
  • Facility Name: MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA MADISON EAST COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 5109 WORLD DAIRY DR
    MADISON, WI
    ZIP 53718
  • Facility Phone: 608 242-0220
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. SALAM SYED
  • NPI Number: 1801947965
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0931324
LAB Type Comp. Outpatient Rehab Facility
Facility Name MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA MADISON EAST COMPREHENSIVE TREATMENT CENTER
Street 5109 WORLD DAIRY DR
City MADISON
State WI
ZIP 53718
Phone 608 242-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. SALAM SYED

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