52D0988765 CLIA NUMBER - MUKWONAGO DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D0988765
  • Facility Name: MUKWONAGO DIALYSIS
  • Facility Address: 400 BAY VIEW RD SUITE F
    MUKWONAGO, WI
    ZIP 53149
  • Facility Phone: (262) 363-1925
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IMRAN SAJJAD
  • NPI Number: 1578649109
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D0988765
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MUKWONAGO DIALYSIS
Street 400 BAY VIEW RD SUITE F
City MUKWONAGO
State WI
ZIP 53149
Phone 2623631925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IMRAN SAJJAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026