52D0388515 CLIA NUMBER - WILLOWDALE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0388515
  • Facility Name: WILLOWDALE HEALTH SERVICES
  • Facility Address: 1610 HOOVER STREET
    NEW HOLSTEIN, WI
    ZIP 53061
  • Facility Phone: 920 898-5706
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CINDY KILGAS
  • NPI Number: 1144392879
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0388515
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLOWDALE HEALTH SERVICES
Street 1610 HOOVER STREET
City NEW HOLSTEIN
State WI
ZIP 53061
Phone 920 898-5706
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 CINDY KILGAS

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