Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Clinical Laboratory, LLC

Organization Clinical Medical Laboratory · NPI 1174762264

Professional Clinical Laboratory, LLC is a Clinical Medical Laboratory in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 Delafield St Ste 309
Waukesha, WI 53188-3417
Phone: (262) 542-8020
Fax: (262) 542-4312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 52D1062818 (WI)

Record details

NPI number1174762264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Stager — Manager · (262) 542-8020
NPI enumeratedFebruary 12, 2009
Last updated in NPPESFebruary 12, 2009
Mailing address1111 Delafield St, Suite 301, Waukesha, WI 53188-3417

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