52D2013588 CLIA NUMBER - HUNTINGTON PLACE - CBRF #1 FIVE STAR QUALITY CARE-NS OPERATOR, LLC

Laboratory Demographics

  • CLIA Code: 52D2013588
  • Facility Name: HUNTINGTON PLACE - CBRF #1 FIVE STAR QUALITY CARE-NS OPERATOR, LLC
  • Facility Address: 3828 E ROTAMER ROAD
    JANESVILLE, WI
    ZIP 53546
  • Facility Phone: 608 868-5035
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY M. LEGLER
  • NPI Number: 1689983793
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2013588
LAB Type Assisted Living Facility
Facility Name HUNTINGTON PLACE - CBRF #1 FIVE STAR QUALITY CARE-NS OPERATOR, LLC
Street 3828 E ROTAMER ROAD
City JANESVILLE
State WI
ZIP 53546
Phone 608 868-5035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Assisted Living Facility
Lab Director TIMOTHY M. LEGLER

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