52D1100249 CLIA NUMBER - CROSSROADS CARE CENTER OF PEWAUKEE

Laboratory Demographics

  • CLIA Code: 52D1100249
  • Facility Name: CROSSROADS CARE CENTER OF PEWAUKEE
  • Facility Address: N26 W23977 WATERTOWN ROAD
    WAUKESHA, WI
    ZIP 53188
  • Facility Phone: 262 523-0933
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALYSSA HERRMAN
  • NPI Number: 1578049995
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D1100249
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CROSSROADS CARE CENTER OF PEWAUKEE
Street N26 W23977 WATERTOWN ROAD
City WAUKESHA
State WI
ZIP 53188
Phone 262 523-0933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALYSSA HERRMAN

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