Clinical Laboratory Information
Similar CLIA Codes
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CLIA Number
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52D2096339
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Clinical laboratory number
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Lab Name
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MD CUSTOM RX
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Laboratory Name
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Lab Type
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Pharmacy
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Laboratory Type
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Certificate Type
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N/S (NOT SPECIFIED)
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Clinical laboratory certificate type
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Contacts |
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Phone
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262-373-1050
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Laboratory telephone number
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Fax
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262-373-1053
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Fax number of the provider.
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Facility Location |
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Street Address
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19035 W CAPITOL DR, STE 105
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Primary location adress line
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City
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BROOKFIELD
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Primary location city name
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State
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WI
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Primary location state name
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Zip
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53045
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Primary location postal code
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