52D0914895 CLIA NUMBER - CEDARBURG HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0914895
  • Facility Name: CEDARBURG HEALTH SERVICES
  • Facility Address: N27 W5707 LINCOLN BLVD
    CEDARBURG, WI
    ZIP 53012
  • Facility Phone: 262 376-7676
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: REID GIOVANINE
  • NPI Number: 1225040926
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0914895
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CEDARBURG HEALTH SERVICES
Street N27 W5707 LINCOLN BLVD
City CEDARBURG
State WI
ZIP 53012
Phone 262 376-7676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director REID GIOVANINE

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