52D2058155 CLIA NUMBER - CAPITOL COURT DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2058155
  • Facility Name: CAPITOL COURT DIALYSIS
  • Facility Address: 4176 N 56TH ST
    MILWAUKEE, WI
    ZIP 53216
  • Facility Phone: (414) 445-2119
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. KAMAL AMIN

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CLIA Record

Field Name Field Value
CLIA Number 52D2058155
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CAPITOL COURT DIALYSIS
Street 4176 N 56TH ST
City MILWAUKEE
State WI
ZIP 53216
Phone 4144452119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. KAMAL AMIN

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This page was last updated on: 5/18/2026