52D2124195 CLIA NUMBER - BADGER HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 52D2124195
  • Facility Name: BADGER HOSPICE, LLC
  • Facility Address: 165 S CALHOUN ROAD
    BROOKFIELD, WI
    ZIP 53005
  • Facility Phone: 262 222-1012
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MS. LAURA KUKOWSKI
  • NPI Number: 1013453505
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 52D2124195
LAB Type Hospice
Facility Name BADGER HOSPICE, LLC
Street 165 S CALHOUN ROAD
City BROOKFIELD
State WI
ZIP 53005
Phone 262 222-1012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Hospice
Lab Director MS. LAURA KUKOWSKI

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