52D2057447 CLIA NUMBER - ST CROIX FALLS

Laboratory Demographics

  • CLIA Code: 52D2057447
  • Facility Name: ST CROIX FALLS
  • Facility Address: 343/341 E MCKENNY STREET
    SAINT CROIX FALLS, WI
    ZIP 54024
  • Facility Phone: 715 483-1707
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. JESSICA WEEKS
  • NPI Number: 1982212049
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2057447
LAB Type Assisted Living Facility
Facility Name ST CROIX FALLS
Street 343/341 E MCKENNY STREET
City SAINT CROIX FALLS
State WI
ZIP 54024
Phone 715 483-1707
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 MS. JESSICA WEEKS

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