52D0668238 CLIA NUMBER - ARIA AT MITCHELL MANOR

Laboratory Demographics

  • CLIA Code: 52D0668238
  • Facility Name: ARIA AT MITCHELL MANOR
  • Facility Address: 5301 W LINCOLN AVE
    WEST ALLIS, WI
    ZIP 53219
  • Facility Phone: 414 615-7100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERICK KNUDTSON
  • NPI Number: 1962099937
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0668238
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARIA AT MITCHELL MANOR
Street 5301 W LINCOLN AVE
City WEST ALLIS
State WI
ZIP 53219
Phone 414 615-7100
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 ERICK KNUDTSON

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