52D1049700 CLIA NUMBER - CHARLES J WAISBREN, MD

Laboratory Demographics

  • CLIA Code: 52D1049700
  • Facility Name: CHARLES J WAISBREN, MD
  • Facility Address: 2500 W LAYTON AVE
    MILWAUKEE, WI
    ZIP 53221
  • Facility Phone: 414 281-1944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES J. WAISBREN
  • NPI Number: 1295141893
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 52D1049700
LAB Type Physician Office
Facility Name CHARLES J WAISBREN, MD
Street 2500 W LAYTON AVE
City MILWAUKEE
State WI
ZIP 53221
Phone 414 281-1944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director DR. CHARLES J. WAISBREN

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