52D1013946 CLIA NUMBER - COUNTRY VIEW

Laboratory Demographics

  • CLIA Code: 52D1013946
  • Facility Name: COUNTRY VIEW
  • Facility Address: 10507 S CHICAGO RD
    OAK CREEK, WI
    ZIP 53154
  • Facility Phone: 414 764-3303
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. JAMIE M. HAGEN
  • NPI Number: 1083872451
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D1013946
LAB Type Assisted Living Facility
Facility Name COUNTRY VIEW
Street 10507 S CHICAGO RD
City OAK CREEK
State WI
ZIP 53154
Phone 414 764-3303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Assisted Living Facility
Lab Director MS. JAMIE M. HAGEN

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