52D1040353 CLIA NUMBER - MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA WAUSAU COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 52D1040353
  • Facility Name: MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA WAUSAU COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 210 WASHINGTON ST
    WAUSAU, WI
    ZIP 54403
  • Facility Phone: 715 845-3637
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. KIRK KLEMME
  • NPI Number: 1336247139
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1040353
LAB Type Mobile Laboratory
Facility Name MILWAUKEE HEALTH SERVICE SYSTEMS, LLC DBA WAUSAU COMPREHENSIVE TREATMENT CENTER
Street 210 WASHINGTON ST
City WAUSAU
State WI
ZIP 54403
Phone 715 845-3637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Mobile Laboratory
Lab Director DR. KIRK KLEMME

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