52D0680667 CLIA NUMBER - SHAWANO HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0680667
  • Facility Name: SHAWANO HEALTH SERVICES
  • Facility Address: 1436 S LINCOLN ST
    SHAWANO, WI
    ZIP 54166
  • Facility Phone: 715 526-6111
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHANNON SKAR
  • NPI Number: 1013386614
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0680667
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHAWANO HEALTH SERVICES
Street 1436 S LINCOLN ST
City SHAWANO
State WI
ZIP 54166
Phone 715 526-6111
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 SHANNON SKAR

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