52D2170880 CLIA NUMBER - ASAP- BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 52D2170880
  • Facility Name: ASAP- BEHAVIORAL HEALTH
  • Facility Address: 11380 WEST THEODORE TRECKER WAY
    WEST ALLIS, WI
    ZIP 53214
  • Facility Phone: 414 310-9685
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VERNON S. PARTELLO
  • NPI Number: 1831754167
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2170880
LAB Type Physician Office
Facility Name ASAP- BEHAVIORAL HEALTH
Street 11380 WEST THEODORE TRECKER WAY
City WEST ALLIS
State WI
ZIP 53214
Phone 414 310-9685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director DR. VERNON S. PARTELLO

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