52D2274908 CLIA NUMBER - DOVE HYDRATION & WELLNESS

Laboratory Demographics

  • CLIA Code: 52D2274908
  • Facility Name: DOVE HYDRATION & WELLNESS
  • Facility Address: 950 N 35TH STREET, 2ND FLOOR
    MILWAUKEE, WI
    ZIP 53208
  • Facility Phone: 414 775-7739
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LILLIAN M. ODUWOLE
  • NPI Number: 1376226464
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2274908
LAB Type Practitioner Other
Facility Name DOVE HYDRATION & WELLNESS
Street 950 N 35TH STREET, 2ND FLOOR
City MILWAUKEE
State WI
ZIP 53208
Phone 414 775-7739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Practitioner Other
Lab Director LILLIAN M. ODUWOLE

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