52D2011918 CLIA NUMBER - SOUTH RIDGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2011918
  • Facility Name: SOUTH RIDGE DIALYSIS
  • Facility Address: 7740 W LAYTON AVE
    GREENFIELD, WI
    ZIP 53220
  • Facility Phone: 414 281-1313
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM C. ELLIOTT
  • NPI Number: 1073831343
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2011918
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH RIDGE DIALYSIS
Street 7740 W LAYTON AVE
City GREENFIELD
State WI
ZIP 53220
Phone 414 281-1313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. WILLIAM C. ELLIOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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