52D2107971 CLIA NUMBER - CUDAHY PLACE

Laboratory Demographics

  • CLIA Code: 52D2107971
  • Facility Name: CUDAHY PLACE
  • Facility Address: 3460 E BARNARD AVE
    CUDAHY, WI
    ZIP 53110
  • Facility Phone: (262) 352-4702
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE L. KUNZE
  • NPI Number: 1255260519
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2107971
LAB Type Assisted Living Facility
Facility Name CUDAHY PLACE
Street 3460 E BARNARD AVE
City CUDAHY
State WI
ZIP 53110
Phone 2623524702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Assisted Living Facility
Lab Director NICOLE L. KUNZE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026