52D0988781 CLIA NUMBER - SPRING CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D0988781
  • Facility Name: SPRING CITY DIALYSIS
  • Facility Address: 1260 SENTRY DR
    WAUKESHA, WI
    ZIP 53186
  • Facility Phone: 262 789-7148
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IMRAN SAJJAD
  • NPI Number: 1043377831
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0988781
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPRING CITY DIALYSIS
Street 1260 SENTRY DR
City WAUKESHA
State WI
ZIP 53186
Phone 262 789-7148
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

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