52D1063308 CLIA NUMBER - PARK MANOR, LTD

Laboratory Demographics

  • CLIA Code: 52D1063308
  • Facility Name: PARK MANOR, LTD
  • Facility Address: 250 LAWRENCE AVE
    PARK FALLS, WI
    ZIP 54552
  • Facility Phone: 715 762-2449
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KAREN HAEGERL
  • NPI Number: 1649618927
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 52D1063308
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK MANOR, LTD
Street 250 LAWRENCE AVE
City PARK FALLS
State WI
ZIP 54552
Phone 715 762-2449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KAREN HAEGERL

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