52D0392099 CLIA NUMBER - CLEMENT MANOR HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 52D0392099
  • Facility Name: CLEMENT MANOR HEALTH CENTER
  • Facility Address: 3939 S 92ND STREET
    GREENFIELD, WI
    ZIP 53228
  • Facility Phone: 414 321-1800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN CHANG
  • NPI Number: 1114923935
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0392099
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CLEMENT MANOR HEALTH CENTER
Street 3939 S 92ND STREET
City GREENFIELD
State WI
ZIP 53228
Phone 414 321-1800
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 DR. STEVEN CHANG

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