52D0394476 CLIA NUMBER - LITTLE CHUTE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0394476
  • Facility Name: LITTLE CHUTE HEALTH SERVICES
  • Facility Address: 1201 GARFIELD AVE
    LITTLE CHUTE, WI
    ZIP 54140
  • Facility Phone: 920 788-5806
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARISSA POPP
  • NPI Number: 1639395916
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D0394476
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LITTLE CHUTE HEALTH SERVICES
Street 1201 GARFIELD AVE
City LITTLE CHUTE
State WI
ZIP 54140
Phone 920 788-5806
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 MARISSA POPP

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