52D2153559 CLIA NUMBER - MATT TALBOT RECOVERY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 52D2153559
  • Facility Name: MATT TALBOT RECOVERY SERVICES, INC
  • Facility Address: 2613 W NORTH AVE
    MILWAUKEE, WI
    ZIP 53210
  • Facility Phone: 414 342-5474
  • Facility Type: Other - CBRF
  • Facility Type: Waiver
  • Lab Director: DR. NEVILLE DUNCAN
  • NPI Number: 1174992895
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2153559
LAB Type Other - CBRF
Facility Name MATT TALBOT RECOVERY SERVICES, INC
Street 2613 W NORTH AVE
City MILWAUKEE
State WI
ZIP 53210
Phone 414 342-5474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Other - CBRF
Lab Director DR. NEVILLE DUNCAN

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This page was last updated on: 6/4/2025