52D0931327 CLIA NUMBER - MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA APPLETON COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 52D0931327
  • Facility Name: MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA APPLETON COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 3301 N BALLARD RD STE B
    APPLETON, WI
    ZIP 54911
  • Facility Phone: 920 733-4443
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. DON MARTIN
  • NPI Number: 1467503193
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0931327
LAB Type Mobile Laboratory
Facility Name MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA APPLETON COMPREHENSIVE TREATMENT CENTER
Street 3301 N BALLARD RD STE B
City APPLETON
State WI
ZIP 54911
Phone 920 733-4443
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 Mobile Laboratory
Lab Director DR. DON MARTIN

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