52D0394808 CLIA NUMBER - STURGEON BAY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0394808
  • Facility Name: STURGEON BAY HEALTH SERVICES
  • Facility Address: 200 N 7TH AVE
    STURGEON BAY, WI
    ZIP 54235
  • Facility Phone: 920 743-6274
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE KOLOSSO
  • NPI Number: 1568914729
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0394808
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STURGEON BAY HEALTH SERVICES
Street 200 N 7TH AVE
City STURGEON BAY
State WI
ZIP 54235
Phone 920 743-6274
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 NICOLE KOLOSSO

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