52D1028611 CLIA NUMBER - HERITAGE COURT

Laboratory Demographics

  • CLIA Code: 52D1028611
  • Facility Name: HERITAGE COURT
  • Facility Address: N78 W14250 W HAMPTON AVENUE
    MENOMONEE FALLS, WI
    ZIP 53051
  • Facility Phone: 262 432-0990
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. AMANDA M. RUNNOE
  • NPI Number: 1942821772
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D1028611
LAB Type Assisted Living Facility
Facility Name HERITAGE COURT
Street N78 W14250 W HAMPTON AVENUE
City MENOMONEE FALLS
State WI
ZIP 53051
Phone 262 432-0990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Assisted Living Facility
Lab Director MS. AMANDA M. RUNNOE

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