52D2308788 CLIA NUMBER - JK MEDICAL CORP DBA MEDI-WEIGHTLOSS OAK CREEK

Laboratory Demographics

  • CLIA Code: 52D2308788
  • Facility Name: JK MEDICAL CORP DBA MEDI-WEIGHTLOSS OAK CREEK
  • Facility Address: 8255 S HOWELL AVE #101
    OAK CREEK, WI
    ZIP 53154
  • Facility Phone: (414) 497-8179
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE KRIZAN
  • NPI Number: 1629807219
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2308788
LAB Type Physician Office
Facility Name JK MEDICAL CORP DBA MEDI-WEIGHTLOSS OAK CREEK
Street 8255 S HOWELL AVE #101
City OAK CREEK
State WI
ZIP 53154
Phone 4144978179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director JULIE KRIZAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026