52D0983653 CLIA NUMBER - RENAISSANCE,THE

Laboratory Demographics

  • CLIA Code: 52D0983653
  • Facility Name: RENAISSANCE,THE
  • Facility Address: 1500 PEPPER AVE
    WISCONSIN RAPIDS, WI
    ZIP 54494
  • Facility Phone: 715 424-6500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALLISON MANCL
  • NPI Number: 1619206661
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0983653
LAB Type Assisted Living Facility
Facility Name RENAISSANCE,THE
Street 1500 PEPPER AVE
City WISCONSIN RAPIDS
State WI
ZIP 54494
Phone 715 424-6500
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 ALLISON MANCL

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