52D2004630 CLIA NUMBER - WATER'S EDGE

Laboratory Demographics

  • CLIA Code: 52D2004630
  • Facility Name: WATER'S EDGE
  • Facility Address: 11040 N STATE RD 77
    HAYWARD, WI
    ZIP 54843
  • Facility Phone: 715 934-4300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. TERESA SCHARLAU
  • NPI Number: 1902810450
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2004630
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WATER'S EDGE
Street 11040 N STATE RD 77
City HAYWARD
State WI
ZIP 54843
Phone 715 934-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. TERESA SCHARLAU

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