52D2302822 CLIA NUMBER - HAYAT PHARMACY 20

Laboratory Demographics

  • CLIA Code: 52D2302822
  • Facility Name: HAYAT PHARMACY 20
  • Facility Address: 807 W LAYTON AVE, STE B
    MILWAUKEE, WI
    ZIP 53221
  • Facility Phone: 414 533-2222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN BOCK
  • NPI Number: 1487205944
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2302822
LAB Type Pharmacy
Facility Name HAYAT PHARMACY 20
Street 807 W LAYTON AVE, STE B
City MILWAUKEE
State WI
ZIP 53221
Phone 414 533-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Pharmacy
Lab Director BRIAN BOCK

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