52D2130170 CLIA NUMBER - NEW BERLIN MEDICAL SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 52D2130170
  • Facility Name: NEW BERLIN MEDICAL SERVICES, LLC
  • Facility Address: 15324 WEST BELOIT RD, SUITE 300
    NEW BERLIN, WI
    ZIP 53151
  • Facility Phone: 414 304-5311
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT D. MATTEUCCI
  • NPI Number: 1396193033
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2130170
LAB Type Ambulatory Surgery Center
Facility Name NEW BERLIN MEDICAL SERVICES, LLC
Street 15324 WEST BELOIT RD, SUITE 300
City NEW BERLIN
State WI
ZIP 53151
Phone 414 304-5311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ROBERT D. MATTEUCCI

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