52D2040447 CLIA NUMBER - MILWAUKEE NEPHROLOGISTS, SC

Laboratory Demographics

  • CLIA Code: 52D2040447
  • Facility Name: MILWAUKEE NEPHROLOGISTS, SC
  • Facility Address: N54 W6135 MILL ST, SUITE 600
    CEDARBURG, WI
    ZIP 53012
  • Facility Phone: 414 777-5200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LISA HALLER
  • NPI Number: 1982763405
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2040447
LAB Type Physician Office
Facility Name MILWAUKEE NEPHROLOGISTS, SC
Street N54 W6135 MILL ST, SUITE 600
City CEDARBURG
State WI
ZIP 53012
Phone 414 777-5200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DR. LISA HALLER

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