52D0966528 CLIA NUMBER - NATIONAL KIDNEY FOUNDATION OF WISCONSIN

Laboratory Demographics

  • CLIA Code: 52D0966528
  • Facility Name: NATIONAL KIDNEY FOUNDATION OF WISCONSIN
  • Facility Address: 10909 W GREENFIELD AVE, STE 201
    WEST ALLIS, WI
    ZIP 53214
  • Facility Phone: 414 897-8669
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: MICHAEL CROWLEY
  • NPI Number: 1871188714
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 52D0966528
LAB Type Health Fair
Facility Name NATIONAL KIDNEY FOUNDATION OF WISCONSIN
Street 10909 W GREENFIELD AVE, STE 201
City WEST ALLIS
State WI
ZIP 53214
Phone 414 897-8669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Health Fair
Lab Director MICHAEL CROWLEY

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