52D0670262 CLIA NUMBER - MEADOWBROOK AT APPLETON

Laboratory Demographics

  • CLIA Code: 52D0670262
  • Facility Name: MEADOWBROOK AT APPLETON
  • Facility Address: 1335 S ONEIDA STREET
    APPLETON, WI
    ZIP 54915
  • Facility Phone: 920 731-6646
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALISON BIEDERWOLF
  • NPI Number: 1275130403
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0670262
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEADOWBROOK AT APPLETON
Street 1335 S ONEIDA STREET
City APPLETON
State WI
ZIP 54915
Phone 920 731-6646
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 ALISON BIEDERWOLF

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