52D0961537 CLIA NUMBER - GOLDEN YEARS NURSING HOME, INC

Laboratory Demographics

  • CLIA Code: 52D0961537
  • Facility Name: GOLDEN YEARS NURSING HOME, INC
  • Facility Address: 270 RIDGE ROAD
    WALWORTH, WI
    ZIP 53184
  • Facility Phone: 262 275-6103
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. LAURA FOSTER
  • NPI Number: 1407873193
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0961537
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOLDEN YEARS NURSING HOME, INC
Street 270 RIDGE ROAD
City WALWORTH
State WI
ZIP 53184
Phone 262 275-6103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2023
Certificate Expiration Date 6/8/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. LAURA FOSTER

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This page was last updated on: 3/20/2025