52D0894337 CLIA NUMBER - HARBOR HAVEN HEALTH & REHABILITATION

Laboratory Demographics

  • CLIA Code: 52D0894337
  • Facility Name: HARBOR HAVEN HEALTH & REHABILITATION
  • Facility Address: 459 E FIRST ST
    FOND DU LAC, WI
    ZIP 54935
  • Facility Phone: 920 929-3500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. KAYLIN PIERPONT
  • NPI Number: 1659358323
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0894337
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HARBOR HAVEN HEALTH & REHABILITATION
Street 459 E FIRST ST
City FOND DU LAC
State WI
ZIP 54935
Phone 920 929-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. KAYLIN PIERPONT

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