52D0390371 CLIA NUMBER - BEDROCK HCS AT GLENDALE LLC

Laboratory Demographics

  • CLIA Code: 52D0390371
  • Facility Name: BEDROCK HCS AT GLENDALE LLC
  • Facility Address: 1300 W SILVER SPRING DR
    GLENDALE, WI
    ZIP 53209
  • Facility Phone: 414 228-8120
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BENNY WAKNIN
  • NPI Number: 1205487345
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0390371
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEDROCK HCS AT GLENDALE LLC
Street 1300 W SILVER SPRING DR
City GLENDALE
State WI
ZIP 53209
Phone 414 228-8120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BENNY WAKNIN

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