52D0394570 CLIA NUMBER - GOOD SHEPHERD SERVICES, LTD

Laboratory Demographics

  • CLIA Code: 52D0394570
  • Facility Name: GOOD SHEPHERD SERVICES, LTD
  • Facility Address: 607 BRONSON RD
    SEYMOUR, WI
    ZIP 54165
  • Facility Phone: 920 833-6856
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. DEBORAH A. CAPTAIN
  • NPI Number: 1114995164
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 52D0394570
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SHEPHERD SERVICES, LTD
Street 607 BRONSON RD
City SEYMOUR
State WI
ZIP 54165
Phone 920 833-6856
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. DEBORAH A. CAPTAIN

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