52D1100025 CLIA NUMBER - NEILLSVILLE RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 52D1100025
  • Facility Name: NEILLSVILLE RETIREMENT COMMUNITY
  • Facility Address: 1211 LLOYD ST
    NEILLSVILLE, WI
    ZIP 54456
  • Facility Phone: 715 743-6700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SUE PETERSON
  • NPI Number: 1255510871
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D1100025
LAB Type Assisted Living Facility
Facility Name NEILLSVILLE RETIREMENT COMMUNITY
Street 1211 LLOYD ST
City NEILLSVILLE
State WI
ZIP 54456
Phone 715 743-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Assisted Living Facility
Lab Director SUE PETERSON

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