52D0983694 CLIA NUMBER - FRESENIUS MEDICAL CARE MIDWEST GLENDALE

Laboratory Demographics

  • CLIA Code: 52D0983694
  • Facility Name: FRESENIUS MEDICAL CARE MIDWEST GLENDALE
  • Facility Address: 400 W ESTABROOK BLVD
    GLENDALE, WI
    ZIP 53212
  • Facility Phone: 414 332-9960
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. OMER AFZAL
  • NPI Number: 1497091284
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0983694
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE MIDWEST GLENDALE
Street 400 W ESTABROOK BLVD
City GLENDALE
State WI
ZIP 53212
Phone 414 332-9960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. OMER AFZAL

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This page was last updated on: 6/4/2025