52D2215868 CLIA NUMBER - COMMUNITY HEALTH PRIMARY CARE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 52D2215868
  • Facility Name: COMMUNITY HEALTH PRIMARY CARE SERVICES, LLC
  • Facility Address: 7929 N 76TH STREET
    MILWAUKEE, WI
    ZIP 53223
  • Facility Phone: (414) 554-9774
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MS. CLARISSA M. LAWRENCE
  • NPI Number: 1255952149
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 52D2215868
LAB Type Mobile Laboratory
Facility Name COMMUNITY HEALTH PRIMARY CARE SERVICES, LLC
Street 7929 N 76TH STREET
City MILWAUKEE
State WI
ZIP 53223
Phone 4145549774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Mobile Laboratory
Lab Director MS. CLARISSA M. LAWRENCE

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This page was last updated on: 5/18/2026