52D1007706 CLIA NUMBER - ROSEWOOD MANOR LLC

Laboratory Demographics

  • CLIA Code: 52D1007706
  • Facility Name: ROSEWOOD MANOR LLC
  • Facility Address: 2220 BORG RD
    DELAVAN, WI
    ZIP 53115
  • Facility Phone: 262 728-7673
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PAMELA S. PREDICK

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CLIA Record

Field Name Field Value
CLIA Number 52D1007706
LAB Type Other
Facility Name ROSEWOOD MANOR LLC
Street 2220 BORG RD
City DELAVAN
State WI
ZIP 53115
Phone 262 728-7673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Other
Lab Director PAMELA S. PREDICK

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This page was last updated on: 6/4/2025