52D0665097 CLIA NUMBER - HOMESTEAD HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0665097
  • Facility Name: HOMESTEAD HEALTH SERVICES
  • Facility Address: 1712 MONROE ST
    NEW HOLSTEIN, WI
    ZIP 53061
  • Facility Phone: 920 898-4296
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRICIA NELSON
  • NPI Number: 1508047523
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0665097
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOMESTEAD HEALTH SERVICES
Street 1712 MONROE ST
City NEW HOLSTEIN
State WI
ZIP 53061
Phone 920 898-4296
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 TRICIA NELSON

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