52D2056724 CLIA NUMBER - PINE HAVEN CHRISTIAN COMMUNITIES

Laboratory Demographics

  • CLIA Code: 52D2056724
  • Facility Name: PINE HAVEN CHRISTIAN COMMUNITIES
  • Facility Address: 531 GIDDINGS AVENUE
    SHEBOYGAN FALLS, WI
    ZIP 53085
  • Facility Phone: 920 550-5689
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATALIE M. NONNEMACHER
  • NPI Number: 1881688059
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2056724
LAB Type Assisted Living Facility
Facility Name PINE HAVEN CHRISTIAN COMMUNITIES
Street 531 GIDDINGS AVENUE
City SHEBOYGAN FALLS
State WI
ZIP 53085
Phone 920 550-5689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Assisted Living Facility
Lab Director NATALIE M. NONNEMACHER

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