52D0994957 CLIA NUMBER - KSMS OUR HOUSE, LLC RICE LAKE ASSISTED CARE

Laboratory Demographics

  • CLIA Code: 52D0994957
  • Facility Name: KSMS OUR HOUSE, LLC RICE LAKE ASSISTED CARE
  • Facility Address: 415 E SOUTH ST
    RICE LAKE, WI
    ZIP 54868
  • Facility Phone: 715 236-7211
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. LORI A. NARDIN

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CLIA Record

Field Name Field Value
CLIA Number 52D0994957
LAB Type Assisted Living Facility
Facility Name KSMS OUR HOUSE, LLC RICE LAKE ASSISTED CARE
Street 415 E SOUTH ST
City RICE LAKE
State WI
ZIP 54868
Phone 715 236-7211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Assisted Living Facility
Lab Director MS. LORI A. NARDIN

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This page was last updated on: 3/20/2025