52D2011909 CLIA NUMBER - WEST APPLETON DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2011909
  • Facility Name: WEST APPLETON DIALYSIS
  • Facility Address: 10130 WEST APPLETON AVE STE 500
    MILWAUKEE, WI
    ZIP 53225
  • Facility Phone: 414 393-0600
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. LISA M. RICH
  • NPI Number: 1598083768
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2011909
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST APPLETON DIALYSIS
Street 10130 WEST APPLETON AVE STE 500
City MILWAUKEE
State WI
ZIP 53225
Phone 414 393-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. LISA M. RICH

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