52D1055233 CLIA NUMBER - FRESENIUS MEDICAL CARE MIDWEST 27TH ST

Laboratory Demographics

  • CLIA Code: 52D1055233
  • Facility Name: FRESENIUS MEDICAL CARE MIDWEST 27TH ST
  • Facility Address: 3120 S 27TH ST
    MILWAUKEE, WI
    ZIP 53215
  • Facility Phone: 414 762-2020
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. VASUNDHARA GANNE
  • NPI Number: 1023354867
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1055233
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE MIDWEST 27TH ST
Street 3120 S 27TH ST
City MILWAUKEE
State WI
ZIP 53215
Phone 414 762-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. VASUNDHARA GANNE

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