52D2057436 CLIA NUMBER - HUDSON 1

Laboratory Demographics

  • CLIA Code: 52D2057436
  • Facility Name: HUDSON 1
  • Facility Address: 1111 HEGGEN ST
    HUDSON, WI
    ZIP 54016
  • Facility Phone: 715 377-0660
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA WEEKS
  • NPI Number: 1366050429
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2057436
LAB Type Assisted Living Facility
Facility Name HUDSON 1
Street 1111 HEGGEN ST
City HUDSON
State WI
ZIP 54016
Phone 715 377-0660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Assisted Living Facility
Lab Director JESSICA WEEKS

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