52D0662028 CLIA NUMBER - RENNES HEALTH CENTER EAST

Laboratory Demographics

  • CLIA Code: 52D0662028
  • Facility Name: RENNES HEALTH CENTER EAST
  • Facility Address: 701 WILLOW ST
    PESHTIGO, WI
    ZIP 54157
  • Facility Phone: 715 582-3962
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRANDON WILLMS
  • NPI Number: 1730187238
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0662028
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RENNES HEALTH CENTER EAST
Street 701 WILLOW ST
City PESHTIGO
State WI
ZIP 54157
Phone 715 582-3962
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 BRANDON WILLMS

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