52D0900126 CLIA NUMBER - MARKESAN RESIDENT HOME, INC

Laboratory Demographics

  • CLIA Code: 52D0900126
  • Facility Name: MARKESAN RESIDENT HOME, INC
  • Facility Address: 1130 N MARGARET ST
    MARKESAN, WI
    ZIP 53946
  • Facility Phone: 920 398-2751
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER SAUER
  • NPI Number: 1023015948
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0900126
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARKESAN RESIDENT HOME, INC
Street 1130 N MARGARET ST
City MARKESAN
State WI
ZIP 53946
Phone 920 398-2751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. JENNIFER SAUER

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