52D1015304 CLIA NUMBER - MAPLECREST MANOR INC

Laboratory Demographics

  • CLIA Code: 52D1015304
  • Facility Name: MAPLECREST MANOR INC
  • Facility Address: 150 N DOUGLAS ST
    RIPON, WI
    ZIP 54971
  • Facility Phone: 920 748-7300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MR. CHAD LIPTOW
  • NPI Number: 1902131543
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D1015304
LAB Type Assisted Living Facility
Facility Name MAPLECREST MANOR INC
Street 150 N DOUGLAS ST
City RIPON
State WI
ZIP 54971
Phone 920 748-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Assisted Living Facility
Lab Director MR. CHAD LIPTOW

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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