52D2168137 CLIA NUMBER - ROOTS COUNSELING SERVICES LLC

Laboratory Demographics

  • CLIA Code: 52D2168137
  • Facility Name: ROOTS COUNSELING SERVICES LLC
  • Facility Address: 4485 N OAKLAND AVE
    SHOREWOOD, WI
    ZIP 53211
  • Facility Phone: 414 273-8484
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JAMES I. ALDER
  • NPI Number: 1669889283
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2168137
LAB Type Comp. Outpatient Rehab Facility
Facility Name ROOTS COUNSELING SERVICES LLC
Street 4485 N OAKLAND AVE
City SHOREWOOD
State WI
ZIP 53211
Phone 414 273-8484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JAMES I. ALDER

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