52D0394517 CLIA NUMBER - MARYHILL MANOR

Laboratory Demographics

  • CLIA Code: 52D0394517
  • Facility Name: MARYHILL MANOR
  • Facility Address: 501 MADISON AVE
    NIAGARA, WI
    ZIP 54151
  • Facility Phone: 715 251-3181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTY SIKORA
  • NPI Number: 1336143726
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0394517
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARYHILL MANOR
Street 501 MADISON AVE
City NIAGARA
State WI
ZIP 54151
Phone 715 251-3181
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 CHRISTY SIKORA

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