52D2072336 CLIA NUMBER - AURORA MEDICAL GROUP AT THE VILLAGE OF MANOR PARK

Laboratory Demographics

  • CLIA Code: 52D2072336
  • Facility Name: AURORA MEDICAL GROUP AT THE VILLAGE OF MANOR PARK
  • Facility Address: 8520 W OKLAHOMA AVE
    MILWAUKEE, WI
    ZIP 53227
  • Facility Phone: 414 607-4291
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KAREN J. PADUA
  • NPI Number: 1962672436
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D2072336
LAB Type Physician Office
Facility Name AURORA MEDICAL GROUP AT THE VILLAGE OF MANOR PARK
Street 8520 W OKLAHOMA AVE
City MILWAUKEE
State WI
ZIP 53227
Phone 414 607-4291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director DR. KAREN J. PADUA

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