52D1044567 CLIA NUMBER - MILWAUKEE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 52D1044567
  • Facility Name: MILWAUKEE DIALYSIS CENTER
  • Facility Address: 4775 N GREEN BAY AVE
    MILWAUKEE, WI
    ZIP 53209
  • Facility Phone: 414 265-1700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANUSHAYANTHAN ANUSH ALFRED
  • NPI Number: 1275644171
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1044567
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MILWAUKEE DIALYSIS CENTER
Street 4775 N GREEN BAY AVE
City MILWAUKEE
State WI
ZIP 53209
Phone 414 265-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANUSHAYANTHAN ANUSH ALFRED

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