52D2109600 CLIA NUMBER - MAB HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 52D2109600
  • Facility Name: MAB HEALTH SERVICES LLC
  • Facility Address: 8532 W CAPITOL DR STE 201
    MILWAUKEE, WI
    ZIP 53222
  • Facility Phone: (414) 915-2153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANTHONY L. HALE
  • NPI Number: 1932503240
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2109600
LAB Type Physician Office
Facility Name MAB HEALTH SERVICES LLC
Street 8532 W CAPITOL DR STE 201
City MILWAUKEE
State WI
ZIP 53222
Phone 4149152153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2026
Certificate Expiration Date 2/28/2028
Facility Type Physician Office
Lab Director DR. ANTHONY L. HALE

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