52D2126394 CLIA NUMBER - ZENITH HEALTHCARE, SC

Laboratory Demographics

CLIA Number: 52D2126394

Facility Name: ZENITH HEALTHCARE, SC

Facility Address:
3203 80TH STREET
KENOSHA, WI
ZIP 53142
Get Directions

Facility Phone Number: 262 764-6070

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1043610280

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	52D2126394
LAB Type	Community Clinic
Facility Name	ZENITH HEALTHCARE, SC
Street	3203 80TH STREET
City	KENOSHA
State	WI
ZIP	53142
Phone	262 764-6070
CertificateType	4
CertificateEffectiveDate	2/27/2023
CertificateExpirationDate	2/26/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024