52D2027378 CLIA NUMBER - WILLOW CREEK DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2027378
  • Facility Name: WILLOW CREEK DIALYSIS
  • Facility Address: 1139 WARWICK WAY
    RACINE, WI
    ZIP 53406
  • Facility Phone: 262 884-2730
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. CARLOS GALVAO-SOBRINHO
  • NPI Number: 1447540760
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2027378
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WILLOW CREEK DIALYSIS
Street 1139 WARWICK WAY
City RACINE
State WI
ZIP 53406
Phone 262 884-2730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. CARLOS GALVAO-SOBRINHO

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