52D2061763 CLIA NUMBER - TERRACE ESTATES

Laboratory Demographics

  • CLIA Code: 52D2061763
  • Facility Name: TERRACE ESTATES
  • Facility Address: 1231 EISNER AVE
    SHEBOYGAN, WI
    ZIP 53083
  • Facility Phone: 920 457-6399
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. SUE TESTROETE
  • NPI Number: 1194912493
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2061763
LAB Type Assisted Living Facility
Facility Name TERRACE ESTATES
Street 1231 EISNER AVE
City SHEBOYGAN
State WI
ZIP 53083
Phone 920 457-6399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2023
Certificate Expiration Date 7/2/2025
Facility Type Assisted Living Facility
Lab Director MS. SUE TESTROETE

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