52D2026503 CLIA NUMBER - WISCONSIN RAPIDS DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2026503
  • Facility Name: WISCONSIN RAPIDS DIALYSIS
  • Facility Address: 1041B HILL ST
    WISCONSIN RAPIDS, WI
    ZIP 54494
  • Facility Phone: 715 422-0550
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. WADAD AILABOUNI
  • NPI Number: 1790075091
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2026503
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WISCONSIN RAPIDS DIALYSIS
Street 1041B HILL ST
City WISCONSIN RAPIDS
State WI
ZIP 54494
Phone 715 422-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. WADAD AILABOUNI

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