52D2285948 CLIA NUMBER - SBH-MADISON, LLC DBA MIRAMONT BEHAVIORAL HEALTH OUTPATIENT

Laboratory Demographics

  • CLIA Code: 52D2285948
  • Facility Name: SBH-MADISON, LLC DBA MIRAMONT BEHAVIORAL HEALTH OUTPATIENT
  • Facility Address: N14 W24200 W TOWER PLACE
    WAUKESHA, WI
    ZIP 53188
  • Facility Phone: 888 255-5430
  • Facility Type: Other - OUTPATIENT CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. YOGESH PAREEK
  • NPI Number: 1003413816
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 52D2285948
LAB Type Other - OUTPATIENT CLINIC
Facility Name SBH-MADISON, LLC DBA MIRAMONT BEHAVIORAL HEALTH OUTPATIENT
Street N14 W24200 W TOWER PLACE
City WAUKESHA
State WI
ZIP 53188
Phone 888 255-5430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Other - OUTPATIENT CLINIC
Lab Director DR. YOGESH PAREEK

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