52D0394453 CLIA NUMBER - ST PAUL ELDER SERVICES INC

Laboratory Demographics

  • CLIA Code: 52D0394453
  • Facility Name: ST PAUL ELDER SERVICES INC
  • Facility Address: 316 E 14TH ST
    KAUKAUNA, WI
    ZIP 54130
  • Facility Phone: (920) 766-6020
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. LISA SABIN-WILSON
  • NPI Number: 1053549980
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0394453
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST PAUL ELDER SERVICES INC
Street 316 E 14TH ST
City KAUKAUNA
State WI
ZIP 54130
Phone 9207666020
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 MS. LISA SABIN-WILSON

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This page was last updated on: 5/18/2026