52D2295175 CLIA NUMBER - COMMUNITY MEDICAL SERVICES- MILWAUKEE ON CHASE

Laboratory Demographics

  • CLIA Code: 52D2295175
  • Facility Name: COMMUNITY MEDICAL SERVICES- MILWAUKEE ON CHASE
  • Facility Address: 2970-2974 CHASE AVENUE
    MILWAUKEE, WI
    ZIP 53207
  • Facility Phone: 602 248-8886
  • Facility Type: Other - OUTPATIENT TREATMENT PROG
  • Facility Type: Waiver
  • Lab Director: JUSTIN M. ABEYTA
  • NPI Number: 1619172004
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 52D2295175
LAB Type Other - OUTPATIENT TREATMENT PROG
Facility Name COMMUNITY MEDICAL SERVICES- MILWAUKEE ON CHASE
Street 2970-2974 CHASE AVENUE
City MILWAUKEE
State WI
ZIP 53207
Phone 602 248-8886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Other - OUTPATIENT TREATMENT PROG
Lab Director JUSTIN M. ABEYTA

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