52D2027379 CLIA NUMBER - HARBOR VIEW DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2027379
  • Facility Name: HARBOR VIEW DIALYSIS
  • Facility Address: 3113 WASHINGTON AVE
    RACINE, WI
    ZIP 53405
  • Facility Phone: 262 632-0120
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOHN F. BRENNAN
  • NPI Number: 1609166925
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2027379
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HARBOR VIEW DIALYSIS
Street 3113 WASHINGTON AVE
City RACINE
State WI
ZIP 53405
Phone 262 632-0120
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. JOHN F. BRENNAN

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