52D0984096 CLIA NUMBER - AUTUMN LIVING INC

Laboratory Demographics

  • CLIA Code: 52D0984096
  • Facility Name: AUTUMN LIVING INC
  • Facility Address: 4340 S 116 ST
    GREENFIELD, WI
    ZIP 53228
  • Facility Phone: 414 425-5532
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MS. LAUREN M. BALTZ
  • NPI Number: 1679784300
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0984096
LAB Type Other
Facility Name AUTUMN LIVING INC
Street 4340 S 116 ST
City GREENFIELD
State WI
ZIP 53228
Phone 414 425-5532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Other
Lab Director MS. LAUREN M. BALTZ

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