52D2100468 CLIA NUMBER - CLIFDEN COURT NORTH

Laboratory Demographics

  • CLIA Code: 52D2100468
  • Facility Name: CLIFDEN COURT NORTH
  • Facility Address: 6801 W LOOMIS RD
    GREENDALE, WI
    ZIP 53129
  • Facility Phone: 414 858-0700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JAMIE L. CAMPBELL
  • NPI Number: 1518754811
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2100468
LAB Type Assisted Living Facility
Facility Name CLIFDEN COURT NORTH
Street 6801 W LOOMIS RD
City GREENDALE
State WI
ZIP 53129
Phone 414 858-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Assisted Living Facility
Lab Director JAMIE L. CAMPBELL

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