52D2253316 CLIA NUMBER - PRIME EXPRESS LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 52D2253316
  • Facility Name: PRIME EXPRESS LABORATORY LLC
  • Facility Address: 7607 W TOWNSEND ST STE 105
    MILWAUKEE, WI
    ZIP 53222
  • Facility Phone: 414 376-7200
  • Facility Type: Other - DIAGNOSTIC LAB
  • Facility Type: Waiver
  • Lab Director: VINNETTA DAWSON
  • NPI Number: 1952057747
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2253316
LAB Type Other - DIAGNOSTIC LAB
Facility Name PRIME EXPRESS LABORATORY LLC
Street 7607 W TOWNSEND ST STE 105
City MILWAUKEE
State WI
ZIP 53222
Phone 414 376-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Other - DIAGNOSTIC LAB
Lab Director VINNETTA DAWSON

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