52D0388179 CLIA NUMBER - CONGREGATIONAL HOME

Laboratory Demographics

  • CLIA Code: 52D0388179
  • Facility Name: CONGREGATIONAL HOME
  • Facility Address: 13900 W BURLEIGH RD
    BROOKFIELD, WI
    ZIP 53005
  • Facility Phone: (262) 781-0550
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANMARIE L. KEHOSS
  • NPI Number: 1942488044
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D0388179
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CONGREGATIONAL HOME
Street 13900 W BURLEIGH RD
City BROOKFIELD
State WI
ZIP 53005
Phone 2627810550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANMARIE L. KEHOSS

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: 5/15/2026