52D1023807 CLIA NUMBER - NINETTE A NASSIF MD SC

Laboratory Demographics

  • CLIA Code: 52D1023807
  • Facility Name: NINETTE A NASSIF MD SC
  • Facility Address: 10625 WEST NORTH AVE, STE 201
    WAUWATOSA, WI
    ZIP 53226
  • Facility Phone: 414 778-1451
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NINETTE A. NASSIF, MD
  • NPI Number: 1942269022
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D1023807
LAB Type Physician Office
Facility Name NINETTE A NASSIF MD SC
Street 10625 WEST NORTH AVE, STE 201
City WAUWATOSA
State WI
ZIP 53226
Phone 414 778-1451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director NINETTE A. NASSIF, MD

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