52D2294261 CLIA NUMBER - TAKE CONTROL HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 52D2294261
  • Facility Name: TAKE CONTROL HEALTH SERVICES LLC
  • Facility Address: 756 N 35TH ST SUITE 201
    MILWAUKEE, WI
    ZIP 53208
  • Facility Phone: 414 293-2595
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RUBY L. MCCAIN
  • NPI Number: 1821863614
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 52D2294261
LAB Type Practitioner Other
Facility Name TAKE CONTROL HEALTH SERVICES LLC
Street 756 N 35TH ST SUITE 201
City MILWAUKEE
State WI
ZIP 53208
Phone 414 293-2595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Practitioner Other
Lab Director RUBY L. MCCAIN

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This page was last updated on: 6/4/2025