52D2220929 CLIA NUMBER - MILWAUKEE CENTER FOR INDEPENDENCE

Laboratory Demographics

  • CLIA Code: 52D2220929
  • Facility Name: MILWAUKEE CENTER FOR INDEPENDENCE
  • Facility Address: 2020 WEST WELLS ST
    MILWAUKEE, WI
    ZIP 53233
  • Facility Phone: 414 331-6392
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LINDA ARCHAMBEAU
  • NPI Number: 1396892451
  • Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic

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CLIA Record

Field Name Field Value
CLIA Number 52D2220929
LAB Type Assisted Living Facility
Facility Name MILWAUKEE CENTER FOR INDEPENDENCE
Street 2020 WEST WELLS ST
City MILWAUKEE
State WI
ZIP 53233
Phone 414 331-6392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Assisted Living Facility
Lab Director LINDA ARCHAMBEAU

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