52D2011652 CLIA NUMBER - GOOD HOPE I

Laboratory Demographics

  • CLIA Code: 52D2011652
  • Facility Name: GOOD HOPE I
  • Facility Address: 7070 N 124TH ST
    MILWAUKEE, WI
    ZIP 53224
  • Facility Phone: 414 358-1774
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MR. BRAD A. ZWICKER
  • NPI Number: 1316129448
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2011652
LAB Type Assisted Living Facility
Facility Name GOOD HOPE I
Street 7070 N 124TH ST
City MILWAUKEE
State WI
ZIP 53224
Phone 414 358-1774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Assisted Living Facility
Lab Director MR. BRAD A. ZWICKER

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