52D2135497 CLIA NUMBER - BROWN DEER DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2135497
  • Facility Name: BROWN DEER DIALYSIS
  • Facility Address: 9127 N 76TH ST
    MILWAUKEE, WI
    ZIP 53223
  • Facility Phone: 414 354-4319
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MR. KEVIN TUCKER
  • NPI Number: 1851812861
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2135497
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BROWN DEER DIALYSIS
Street 9127 N 76TH ST
City MILWAUKEE
State WI
ZIP 53223
Phone 414 354-4319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MR. KEVIN TUCKER

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