52D1013757 CLIA NUMBER - CHRISTIAN FAMILYCARE HOMES-MANHATTAN

Laboratory Demographics

  • CLIA Code: 52D1013757
  • Facility Name: CHRISTIAN FAMILYCARE HOMES-MANHATTAN
  • Facility Address: 2031 MANHATTAN DR
    WAUKESHA, WI
    ZIP 53186
  • Facility Phone: 414 531-8082
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SUSAN L. ANDERSON
  • NPI Number: 1720559560
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 52D1013757
LAB Type Other
Facility Name CHRISTIAN FAMILYCARE HOMES-MANHATTAN
Street 2031 MANHATTAN DR
City WAUKESHA
State WI
ZIP 53186
Phone 414 531-8082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Other
Lab Director SUSAN L. ANDERSON

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