52D2261520 CLIA NUMBER - CARE CONNECTION

Laboratory Demographics

  • CLIA Code: 52D2261520
  • Facility Name: CARE CONNECTION
  • Facility Address: 120 BISHOPS WAY STE 165
    BROOKFIELD, WI
    ZIP 53005
  • Facility Phone: 414 841-5614
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MARTAVIA STANFORD
  • NPI Number: 1316556293
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 52D2261520
LAB Type Mobile Laboratory
Facility Name CARE CONNECTION
Street 120 BISHOPS WAY STE 165
City BROOKFIELD
State WI
ZIP 53005
Phone 414 841-5614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Mobile Laboratory
Lab Director MARTAVIA STANFORD

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