52D0967571 CLIA NUMBER - LINDENGROVE MUKWONAGO

Laboratory Demographics

  • CLIA Code: 52D0967571
  • Facility Name: LINDENGROVE MUKWONAGO
  • Facility Address: 837 COUNTY ROAD NN E
    MUKWONAGO, WI
    ZIP 53149
  • Facility Phone: 920 206-4986
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUZANNE WHITTY
  • NPI Number: 1003998790
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0967571
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LINDENGROVE MUKWONAGO
Street 837 COUNTY ROAD NN E
City MUKWONAGO
State WI
ZIP 53149
Phone 920 206-4986
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SUZANNE WHITTY

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