52D2317305 CLIA NUMBER - PROGRESSIVE MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 52D2317305
  • Facility Name: PROGRESSIVE MEDICAL GROUP, INC
  • Facility Address: 5434 W CAPITOL DRIVE, STE 1
    MILWAUKEE, WI
    ZIP 53216
  • Facility Phone: 414 251-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASVIR K. KAILEY
  • NPI Number: 1609464049
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D2317305
LAB Type Physician Office
Facility Name PROGRESSIVE MEDICAL GROUP, INC
Street 5434 W CAPITOL DRIVE, STE 1
City MILWAUKEE
State WI
ZIP 53216
Phone 414 251-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director JASVIR K. KAILEY

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