52D2055432 CLIA NUMBER - RIVER WOODS PLACE

Laboratory Demographics

  • CLIA Code: 52D2055432
  • Facility Name: RIVER WOODS PLACE
  • Facility Address: 950 S RAPIDS RD
    MANITOWOC, WI
    ZIP 54220
  • Facility Phone: 920 684-3996
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MR. JEREMY M. DENOR
  • NPI Number: 1336336635
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2055432
LAB Type Assisted Living Facility
Facility Name RIVER WOODS PLACE
Street 950 S RAPIDS RD
City MANITOWOC
State WI
ZIP 54220
Phone 920 684-3996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Assisted Living Facility
Lab Director MR. JEREMY M. DENOR

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