52D1047368 CLIA NUMBER - RAINBOW HOUSE

Laboratory Demographics

  • CLIA Code: 52D1047368
  • Facility Name: RAINBOW HOUSE
  • Facility Address: 3100 SOUTHBROOK CT
    MANITOWOC, WI
    ZIP 54220
  • Facility Phone: 920 684-4851
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MARCIA CHRISTIANSEN
  • NPI Number: 1720122690
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D1047368
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RAINBOW HOUSE
Street 3100 SOUTHBROOK CT
City MANITOWOC
State WI
ZIP 54220
Phone 920 684-4851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MARCIA CHRISTIANSEN

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