52D2015840 CLIA NUMBER - GOLDEN GARDENS

Laboratory Demographics

  • CLIA Code: 52D2015840
  • Facility Name: GOLDEN GARDENS
  • Facility Address: 8526 W MILL RD
    MILWAUKEE, WI
    ZIP 53225
  • Facility Phone: 414 358-0407
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. PAULA GASTON
  • NPI Number: 1124341938
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2015840
LAB Type Assisted Living Facility
Facility Name GOLDEN GARDENS
Street 8526 W MILL RD
City MILWAUKEE
State WI
ZIP 53225
Phone 414 358-0407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Assisted Living Facility
Lab Director MS. PAULA GASTON

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This page was last updated on: 6/4/2025