52D1028852 CLIA NUMBER - OAK GARDENS PLACE

Laboratory Demographics

  • CLIA Code: 52D1028852
  • Facility Name: OAK GARDENS PLACE
  • Facility Address: 342 TWIN OAK DR
    ALTOONA, WI
    ZIP 54720
  • Facility Phone: 715 839-8000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. PATRICIA LUBE
  • NPI Number: 1790972099
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D1028852
LAB Type Assisted Living Facility
Facility Name OAK GARDENS PLACE
Street 342 TWIN OAK DR
City ALTOONA
State WI
ZIP 54720
Phone 715 839-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Assisted Living Facility
Lab Director MS. PATRICIA LUBE

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