52D2044988 CLIA NUMBER - HERITAGE MIDDLETON

Laboratory Demographics

  • CLIA Code: 52D2044988
  • Facility Name: HERITAGE MIDDLETON
  • Facility Address: 6234 MAYWOOD AVE
    MIDDLETON, WI
    ZIP 53562
  • Facility Phone: 608 831-7004
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. NANCY HARTWIG
  • NPI Number: 1114548138
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2044988
LAB Type Assisted Living Facility
Facility Name HERITAGE MIDDLETON
Street 6234 MAYWOOD AVE
City MIDDLETON
State WI
ZIP 53562
Phone 608 831-7004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Assisted Living Facility
Lab Director MS. NANCY HARTWIG

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