52D2161784 CLIA NUMBER - IRIS HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 52D2161784
  • Facility Name: IRIS HEALTH CLINIC
  • Facility Address: 260 SOUTH ELM GROVE ROAD
    BROOKFIELD, WI
    ZIP 53005
  • Facility Phone: 262 420-9088
  • Facility Type: Other - RESIDENTIAL SUD
  • Facility Type: Waiver
  • Lab Director: MR. PETER T. BRUNZELLE
  • NPI Number: 1942735766
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2161784
LAB Type Other - RESIDENTIAL SUD
Facility Name IRIS HEALTH CLINIC
Street 260 SOUTH ELM GROVE ROAD
City BROOKFIELD
State WI
ZIP 53005
Phone 262 420-9088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Other - RESIDENTIAL SUD
Lab Director MR. PETER T. BRUNZELLE

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