52D0662027 CLIA NUMBER - ANNA JOHN NURSING HOME

Laboratory Demographics

  • CLIA Code: 52D0662027
  • Facility Name: ANNA JOHN NURSING HOME
  • Facility Address: W846 EE ROAD
    DE PERE, WI
    ZIP 54115
  • Facility Phone: 920 869-2797
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: FRED WALBRUN
  • NPI Number: 1407916174
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0662027
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ANNA JOHN NURSING HOME
Street W846 EE ROAD
City DE PERE
State WI
ZIP 54115
Phone 920 869-2797
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 FRED WALBRUN

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