52D1049700 CLIA NUMBER - CHARLES J WAISBREN, MD

Laboratory Demographics

CLIA Number: 52D1049700

Facility Name: CHARLES J WAISBREN, MD

Facility Address:
2500 W LAYTON AVE
MILWAUKEE, WI
ZIP 53221
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Facility Phone Number: 414 281-1944

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295141893

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

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
CertificateType	4
CertificateEffectiveDate	1/13/2024
CertificateExpirationDate	1/12/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024