52D2195208 CLIA NUMBER - HAYAT PHARMACY 12, LLC

Laboratory Demographics

  • CLIA Code: 52D2195208
  • Facility Name: HAYAT PHARMACY 12, LLC
  • Facility Address: 5911 S PACKARD AVE
    CUDAHY, WI
    ZIP 53110
  • Facility Phone: 414 744-7777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HASHIM ZAIBAK
  • NPI Number: 1730659962
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2195208
LAB Type Pharmacy
Facility Name HAYAT PHARMACY 12, LLC
Street 5911 S PACKARD AVE
City CUDAHY
State WI
ZIP 53110
Phone 414 744-7777
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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