52D2200062 CLIA NUMBER - APPLETON AVENUE LABS, LLC

Laboratory Demographics

  • CLIA Code: 52D2200062
  • Facility Name: APPLETON AVENUE LABS, LLC
  • Facility Address: 6914 WEST APPLETON AVENUE
    MILWAUKEE, WI
    ZIP 53216
  • Facility Phone: 414 290-7597
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ROSLAND A. ANDERSON
  • NPI Number: 1306440086
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 52D2200062
LAB Type Independent
Facility Name APPLETON AVENUE LABS, LLC
Street 6914 WEST APPLETON AVENUE
City MILWAUKEE
State WI
ZIP 53216
Phone 414 290-7597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Independent
Lab Director ROSLAND A. ANDERSON

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