52D0393135 CLIA NUMBER - MAPLEWOOD OF SAUK-PRAIRIE

Laboratory Demographics

  • CLIA Code: 52D0393135
  • Facility Name: MAPLEWOOD OF SAUK-PRAIRIE
  • Facility Address: 245 SYCAMORE ST
    SAUK CITY, WI
    ZIP 53583
  • Facility Phone: 608 643-3383
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA DICKMAN
  • NPI Number: 1316194921
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0393135
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLEWOOD OF SAUK-PRAIRIE
Street 245 SYCAMORE ST
City SAUK CITY
State WI
ZIP 53583
Phone 608 643-3383
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 ALEXANDRA DICKMAN

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