52D1015406 CLIA NUMBER - PMTC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 52D1015406
  • Facility Name: PMTC SURGERY CENTER
  • Facility Address: 8901 N 76TH ST
    MILWAUKEE, WI
    ZIP 53223
  • Facility Phone: 414 354-0772
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PAMELA Y. THOMAS-KING
  • NPI Number: 1457306888
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D1015406
LAB Type Ambulatory Surgery Center
Facility Name PMTC SURGERY CENTER
Street 8901 N 76TH ST
City MILWAUKEE
State WI
ZIP 53223
Phone 414 354-0772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2023
Certificate Expiration Date 7/29/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. PAMELA Y. THOMAS-KING

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: 3/20/2025