52D2086318 CLIA NUMBER - CHILTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2086318
  • Facility Name: CHILTON DIALYSIS
  • Facility Address: 425 MB LANE
    CHILTON, WI
    ZIP 53014
  • Facility Phone: 920 849-3441
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ATIF QURESHI
  • NPI Number: 1114320660
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2086318
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CHILTON DIALYSIS
Street 425 MB LANE
City CHILTON
State WI
ZIP 53014
Phone 920 849-3441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ATIF QURESHI

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