52D2046825 CLIA NUMBER - FROEDTERT HOSPITAL

Home > CLIA Lookup > 52D2046825

Laboratory Demographics

CLIA Number: 52D2046825

Facility Name: FROEDTERT HOSPITAL

Facility Address:
9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Get Directions

Facility Phone Number: 414 805-2764

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1225686405

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	52D2046825
LAB Type	Physician Office
Facility Name	FROEDTERT HOSPITAL
Street	9200 W WISCONSIN AVE
City	MILWAUKEE
State	WI
ZIP	53226
Phone	414 805-2764
CertificateType	3
CertificateEffectiveDate	12/5/2023
CertificateExpirationDate	12/4/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024