52D1053078 CLIA NUMBER - HERITAGE ASSISTED LIVING H-1

Laboratory Demographics

  • CLIA Code: 52D1053078
  • Facility Name: HERITAGE ASSISTED LIVING H-1
  • Facility Address: 3706 DAMON ST
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 715 831-9118
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER DAVIDSON
  • NPI Number: 1144841164
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D1053078
LAB Type Assisted Living Facility
Facility Name HERITAGE ASSISTED LIVING H-1
Street 3706 DAMON ST
City EAU CLAIRE
State WI
ZIP 54701
Phone 715 831-9118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Assisted Living Facility
Lab Director MS. JENNIFER DAVIDSON

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