52D2195203 CLIA NUMBER - HAYAT PHARMACY 19, LLC

Laboratory Demographics

  • CLIA Code: 52D2195203
  • Facility Name: HAYAT PHARMACY 19, LLC
  • Facility Address: 805 LAYTON AVE SUITE A
    MILWAUKEE, WI
    ZIP 53221
  • Facility Phone: 414 483-0000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HASHIM ZAIBAK
  • NPI Number: 1962053421
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2195203
LAB Type Pharmacy
Facility Name HAYAT PHARMACY 19, LLC
Street 805 LAYTON AVE SUITE A
City MILWAUKEE
State WI
ZIP 53221
Phone 414 483-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Pharmacy
Lab Director HASHIM ZAIBAK

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