52D0389617 CLIA NUMBER - LINDENGROVE-NEW BERLIN

Laboratory Demographics

  • CLIA Code: 52D0389617
  • Facility Name: LINDENGROVE-NEW BERLIN
  • Facility Address: 13755 W FIELDPOINTE DR
    NEW BERLIN, WI
    ZIP 53151
  • Facility Phone: 920 206-4983
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL JONES
  • NPI Number: 1780766444
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0389617
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LINDENGROVE-NEW BERLIN
Street 13755 W FIELDPOINTE DR
City NEW BERLIN
State WI
ZIP 53151
Phone 920 206-4983
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 MICHAEL JONES

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