52D1041719 CLIA NUMBER - ASERACARE HOSPICE

Laboratory Demographics

  • CLIA Code: 52D1041719
  • Facility Name: ASERACARE HOSPICE
  • Facility Address: 2633 DEVELOPMENT DR, STE 10
    BELLEVUE, WI
    ZIP 54311
  • Facility Phone: 920 339-9065
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BRENDA DILE
  • NPI Number: 1497794457
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D1041719
LAB Type Hospice
Facility Name ASERACARE HOSPICE
Street 2633 DEVELOPMENT DR, STE 10
City BELLEVUE
State WI
ZIP 54311
Phone 920 339-9065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Hospice
Lab Director BRENDA DILE

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