52D0983652 CLIA NUMBER - RENAISSANCE,THE

Laboratory Demographics

  • CLIA Code: 52D0983652
  • Facility Name: RENAISSANCE,THE
  • Facility Address: 301 E FLORIDA AVE
    APPLETON, WI
    ZIP 54911
  • Facility Phone: 920 380-1100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. NICOLE M. RIESTERER
  • NPI Number: 1063764942
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0983652
LAB Type Assisted Living Facility
Facility Name RENAISSANCE,THE
Street 301 E FLORIDA AVE
City APPLETON
State WI
ZIP 54911
Phone 920 380-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Assisted Living Facility
Lab Director MS. NICOLE M. RIESTERER

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