52D2296967 CLIA NUMBER - UNITED COMMUNITY CENTER

Laboratory Demographics

  • CLIA Code: 52D2296967
  • Facility Name: UNITED COMMUNITY CENTER
  • Facility Address: 733 W WASHINGTON STREET
    MILWAUKEE, WI
    ZIP 53204
  • Facility Phone: 414 389-4730
  • Facility Type: Other - COMMUNITY CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. OLAYINKA O. SHIYANBOLA
  • NPI Number: 1467609776
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2296967
LAB Type Other - COMMUNITY CLINIC
Facility Name UNITED COMMUNITY CENTER
Street 733 W WASHINGTON STREET
City MILWAUKEE
State WI
ZIP 53204
Phone 414 389-4730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Other - COMMUNITY CLINIC
Lab Director DR. OLAYINKA O. SHIYANBOLA

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