52D2145547 CLIA NUMBER - CENTURY RIDGE - BUILDING 2

Laboratory Demographics

  • CLIA Code: 52D2145547
  • Facility Name: CENTURY RIDGE - BUILDING 2
  • Facility Address: 531 CALUMET ST
    CHILTON, WI
    ZIP 53014
  • Facility Phone: 920 849-8529
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. BETH VUKOBRAT

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CLIA Record

Field Name Field Value
CLIA Number 52D2145547
LAB Type Assisted Living Facility
Facility Name CENTURY RIDGE - BUILDING 2
Street 531 CALUMET ST
City CHILTON
State WI
ZIP 53014
Phone 920 849-8529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Assisted Living Facility
Lab Director MS. BETH VUKOBRAT

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