52D0678684 CLIA NUMBER - RENNES HEALTH CENTER - WEST

Laboratory Demographics

  • CLIA Code: 52D0678684
  • Facility Name: RENNES HEALTH CENTER - WEST
  • Facility Address: 501 N LAKE ST
    PESHTIGO, WI
    ZIP 54157
  • Facility Phone: 715 582-3906
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. MIRANDA SEEFELDT
  • NPI Number: 1700884293
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0678684
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RENNES HEALTH CENTER - WEST
Street 501 N LAKE ST
City PESHTIGO
State WI
ZIP 54157
Phone 715 582-3906
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 MS. MIRANDA SEEFELDT

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