52D2046231 CLIA NUMBER - INFINITY CARE INC

Laboratory Demographics

  • CLIA Code: 52D2046231
  • Facility Name: INFINITY CARE INC
  • Facility Address: 324 ROBIN LN
    LUXEMBURG, WI
    ZIP 54217
  • Facility Phone: 920 845-5085
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MR. RANDALL J. VAN PAY
  • NPI Number: 1720317092
  • Taxonomy: 172V00000X - Community Health Worker

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CLIA Record

Field Name Field Value
CLIA Number 52D2046231
LAB Type Assisted Living Facility
Facility Name INFINITY CARE INC
Street 324 ROBIN LN
City LUXEMBURG
State WI
ZIP 54217
Phone 920 845-5085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Assisted Living Facility
Lab Director MR. RANDALL J. VAN PAY

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