52D1105753 CLIA NUMBER - SCANDINAVIAN COURT ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 52D1105753
  • Facility Name: SCANDINAVIAN COURT ASSISTED LIVING
  • Facility Address: 346 SCANDINAVIAN CT
    DENMARK, WI
    ZIP 54208
  • Facility Phone: (920) 863-5362
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BOBBIE JO KRAEMER

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CLIA Record

Field Name Field Value
CLIA Number 52D1105753
LAB Type Assisted Living Facility
Facility Name SCANDINAVIAN COURT ASSISTED LIVING
Street 346 SCANDINAVIAN CT
City DENMARK
State WI
ZIP 54208
Phone 9208635362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Assisted Living Facility
Lab Director BOBBIE JO KRAEMER

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This page was last updated on: 5/18/2026