52D1006146 CLIA NUMBER - FOUR WINDS LODGE

Laboratory Demographics

  • CLIA Code: 52D1006146
  • Facility Name: FOUR WINDS LODGE
  • Facility Address: 309 SCHWEITZER DR
    VERONA, WI
    ZIP 53593
  • Facility Phone: 608 845-6154
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRENDA S. GRAY, LPN
  • NPI Number: 1902895592
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D1006146
LAB Type Other
Facility Name FOUR WINDS LODGE
Street 309 SCHWEITZER DR
City VERONA
State WI
ZIP 53593
Phone 608 845-6154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Other
Lab Director BRENDA S. GRAY, LPN

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