52D2031728 CLIA NUMBER - MILL STREET HOME TRAINING

Laboratory Demographics

  • CLIA Code: 52D2031728
  • Facility Name: MILL STREET HOME TRAINING
  • Facility Address: N54 W6135 MILL ST, SUITE 500
    CEDARBURG, WI
    ZIP 53012
  • Facility Phone: 262 376-8011
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. LISA HALLER
  • NPI Number: 1497033229
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2031728
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MILL STREET HOME TRAINING
Street N54 W6135 MILL ST, SUITE 500
City CEDARBURG
State WI
ZIP 53012
Phone 262 376-8011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. LISA HALLER

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