52D2005750 CLIA NUMBER - GOLDEN HARBOR

Laboratory Demographics

  • CLIA Code: 52D2005750
  • Facility Name: GOLDEN HARBOR
  • Facility Address: 505 S WATER ST
    SHEBOYGAN, WI
    ZIP 53081
  • Facility Phone: (920) 451-6923
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MISSY BLOOMHUFF
  • NPI Number: 1831486448
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2005750
LAB Type Assisted Living Facility
Facility Name GOLDEN HARBOR
Street 505 S WATER ST
City SHEBOYGAN
State WI
ZIP 53081
Phone 9204516923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2026
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director MISSY BLOOMHUFF

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