52D0862942 CLIA NUMBER - AMETHYST HEALTH OF ALGOMA

Laboratory Demographics

  • CLIA Code: 52D0862942
  • Facility Name: AMETHYST HEALTH OF ALGOMA
  • Facility Address: 1510 FREMONT STREET
    ALGOMA, WI
    ZIP 54201
  • Facility Phone: 920 487-5511
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RACHELLE ROSADO
  • NPI Number: 1215910690
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0862942
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AMETHYST HEALTH OF ALGOMA
Street 1510 FREMONT STREET
City ALGOMA
State WI
ZIP 54201
Phone 920 487-5511
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 RACHELLE ROSADO

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