52D0878193 CLIA NUMBER - VILLA PINES LIVING CENTER

Laboratory Demographics

  • CLIA Code: 52D0878193
  • Facility Name: VILLA PINES LIVING CENTER
  • Facility Address: 201 PARK STREET
    FRIENDSHIP, WI
    ZIP 53934
  • Facility Phone: 608 339-3361
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. SARA E. HENNE
  • NPI Number: 1750357687
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0878193
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VILLA PINES LIVING CENTER
Street 201 PARK STREET
City FRIENDSHIP
State WI
ZIP 53934
Phone 608 339-3361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. SARA E. HENNE

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