52D1052772 CLIA NUMBER - SHALEM HEALING INC

Laboratory Demographics

  • CLIA Code: 52D1052772
  • Facility Name: SHALEM HEALING INC
  • Facility Address: 3338 N DOCTOR MARTIN LUTHER KING DRIVE - 2ND FLOOR
    MILWAUKEE, WI
    ZIP 53212
  • Facility Phone: 414 640-5433
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MR. ROBERT J. FOX
  • NPI Number: 1073801395
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1052772
LAB Type Community Clinic
Facility Name SHALEM HEALING INC
Street 3338 N DOCTOR MARTIN LUTHER KING DRIVE - 2ND FLOOR
City MILWAUKEE
State WI
ZIP 53212
Phone 414 640-5433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Community Clinic
Lab Director MR. ROBERT J. FOX

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