52D2066481 CLIA NUMBER - RIVER VIEW ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 52D2066481
  • Facility Name: RIVER VIEW ASSISTED LIVING
  • Facility Address: 1301 E MAIN ST
    WATERTOWN, WI
    ZIP 53094
  • Facility Phone: 920 567-0100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MISSY BLOOMHUFF
  • NPI Number: 1619597465
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2066481
LAB Type Assisted Living Facility
Facility Name RIVER VIEW ASSISTED LIVING
Street 1301 E MAIN ST
City WATERTOWN
State WI
ZIP 53094
Phone 920 567-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Assisted Living Facility
Lab Director MISSY BLOOMHUFF

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