52D0984739 CLIA NUMBER - EMERALD RIDGE ASSISTED LIVING, LLC

Laboratory Demographics

  • CLIA Code: 52D0984739
  • Facility Name: EMERALD RIDGE ASSISTED LIVING, LLC
  • Facility Address: 130 BYRD AVE
    NEENAH, WI
    ZIP 54956
  • Facility Phone: 920 722-5100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. VICKI S. HANSON
  • NPI Number: 1871876003
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0984739
LAB Type Assisted Living Facility
Facility Name EMERALD RIDGE ASSISTED LIVING, LLC
Street 130 BYRD AVE
City NEENAH
State WI
ZIP 54956
Phone 920 722-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Assisted Living Facility
Lab Director MS. VICKI S. HANSON

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