52D2286526 CLIA NUMBER - AFW PSYCHIATRIC AND MENTAL HEALTH SOLUTIONS, LLC

Laboratory Demographics

  • CLIA Code: 52D2286526
  • Facility Name: AFW PSYCHIATRIC AND MENTAL HEALTH SOLUTIONS, LLC
  • Facility Address: 7235 W APPLETON AVE, SUITE 2
    MILWAUKEE, WI
    ZIP 53216
  • Facility Phone: 414 312-8683
  • Facility Type: Other - OUTPATIENT PSYCHIATRIC SV
  • Facility Type: Microscopy
  • Lab Director: ANGELIA FELTON-WILKS
  • NPI Number: 1639807845
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 52D2286526
LAB Type Other - OUTPATIENT PSYCHIATRIC SV
Facility Name AFW PSYCHIATRIC AND MENTAL HEALTH SOLUTIONS, LLC
Street 7235 W APPLETON AVE, SUITE 2
City MILWAUKEE
State WI
ZIP 53216
Phone 414 312-8683
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/31/2023
Certificate Expiration Date 7/30/2025
Facility Type Other - OUTPATIENT PSYCHIATRIC SV
Lab Director ANGELIA FELTON-WILKS

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This page was last updated on: 3/20/2025