52D0686360 CLIA NUMBER - HOMECARE HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 52D0686360
  • Facility Name: HOMECARE HEALTH SERVICES INC
  • Facility Address: 1004 WASHINGTON ST
    MANITOWOC, WI
    ZIP 54220
  • Facility Phone: 920 684-7155
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LYNN M. SEIDL-BABCOCK
  • NPI Number: 1992891758
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D0686360
LAB Type Home Health Agency
Facility Name HOMECARE HEALTH SERVICES INC
Street 1004 WASHINGTON ST
City MANITOWOC
State WI
ZIP 54220
Phone 920 684-7155
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 Home Health Agency
Lab Director LYNN M. SEIDL-BABCOCK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025