52D2008775 CLIA NUMBER - COMMONHEART HOSPICE

Laboratory Demographics

  • CLIA Code: 52D2008775
  • Facility Name: COMMONHEART HOSPICE
  • Facility Address: N16W23217 STONE RIDGE DRIVE, SUITE 350
    WAUKESHA, WI
    ZIP 53188
  • Facility Phone: 920 206-6202
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LISA WHITE
  • NPI Number: 1821091323
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2008775
LAB Type Hospice
Facility Name COMMONHEART HOSPICE
Street N16W23217 STONE RIDGE DRIVE, SUITE 350
City WAUKESHA
State WI
ZIP 53188
Phone 920 206-6202
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 Hospice
Lab Director LISA WHITE

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