52D0673442 CLIA NUMBER - HOSPICE ALLIANCE, INC

Laboratory Demographics

  • CLIA Code: 52D0673442
  • Facility Name: HOSPICE ALLIANCE, INC
  • Facility Address: 10220 PRAIRIE RIDGE BLVD
    PLEASANT PRAIRIE, WI
    ZIP 53158
  • Facility Phone: 262 652-4400
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MS. RITA M. HAGEN
  • NPI Number: 1053314252
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 52D0673442
LAB Type Hospice
Facility Name HOSPICE ALLIANCE, INC
Street 10220 PRAIRIE RIDGE BLVD
City PLEASANT PRAIRIE
State WI
ZIP 53158
Phone 262 652-4400
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 Hospice
Lab Director MS. RITA M. HAGEN

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