52D2008772 CLIA NUMBER - COMMONHEART HOME HEALTH

Laboratory Demographics

  • CLIA Code: 52D2008772
  • Facility Name: COMMONHEART HOME HEALTH
  • Facility Address: N16W23217 STONE RIDGE DR
    WAUKESHA, WI
    ZIP 53188
  • Facility Phone: 920 261-7108
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SARAH KUEHL
  • NPI Number: 1629071121
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 52D2008772
LAB Type Home Health Agency
Facility Name COMMONHEART HOME HEALTH
Street N16W23217 STONE RIDGE DR
City WAUKESHA
State WI
ZIP 53188
Phone 920 261-7108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Home Health Agency
Lab Director SARAH KUEHL

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This page was last updated on: 3/20/2025