52D2066698 CLIA NUMBER - WISCONSIN DIGESTIVE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 52D2066698
  • Facility Name: WISCONSIN DIGESTIVE HEALTH CENTER
  • Facility Address: 2424 S 90TH ST, SUITE 418
    MILWAUKEE, WI
    ZIP 53227
  • Facility Phone: 414 908-6500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL J. GEENEN
  • NPI Number: 1033258116
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2066698
LAB Type Ambulatory Surgery Center
Facility Name WISCONSIN DIGESTIVE HEALTH CENTER
Street 2424 S 90TH ST, SUITE 418
City MILWAUKEE
State WI
ZIP 53227
Phone 414 908-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. DANIEL J. GEENEN

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This page was last updated on: 3/20/2025