52D0388283 CLIA NUMBER - CALUMET CO HLTH DEPT & HOME HLTH CARE AGENCY

Laboratory Demographics

  • CLIA Code: 52D0388283
  • Facility Name: CALUMET CO HLTH DEPT & HOME HLTH CARE AGENCY
  • Facility Address: 206 COURT ST
    CHILTON, WI
    ZIP 53014
  • Facility Phone: 920 849-1427
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMBER BASTIAN
  • NPI Number: 1629245782
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 52D0388283
LAB Type Home Health Agency
Facility Name CALUMET CO HLTH DEPT & HOME HLTH CARE AGENCY
Street 206 COURT ST
City CHILTON
State WI
ZIP 53014
Phone 920 849-1427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Home Health Agency
Lab Director AMBER BASTIAN

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