52D0394653 CLIA NUMBER - KEWAUNEE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0394653
  • Facility Name: KEWAUNEE HEALTH SERVICES
  • Facility Address: 1308 LINCOLN ST
    KEWAUNEE, WI
    ZIP 54216
  • Facility Phone: 920 388-4111
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CASSANDRA DUFRESNE
  • NPI Number: 1588657704
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0394653
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KEWAUNEE HEALTH SERVICES
Street 1308 LINCOLN ST
City KEWAUNEE
State WI
ZIP 54216
Phone 920 388-4111
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 CASSANDRA DUFRESNE

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