52D2112686 CLIA NUMBER - SALS RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 52D2112686
  • Facility Name: SALS RECOVERY CENTER
  • Facility Address: 223 WISCONSIN AVENUE
    WAUKESHA, WI
    ZIP 53186
  • Facility Phone: 262 549-2121
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: MR. PETER T. BRUNZELLE
  • NPI Number: 1336508613
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2112686
LAB Type Comp. Outpatient Rehab Facility
Facility Name SALS RECOVERY CENTER
Street 223 WISCONSIN AVENUE
City WAUKESHA
State WI
ZIP 53186
Phone 262 549-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director MR. PETER T. BRUNZELLE

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