52D2149301 CLIA NUMBER - SHAWANO PLACE

Laboratory Demographics

  • CLIA Code: 52D2149301
  • Facility Name: SHAWANO PLACE
  • Facility Address: 1088 ENGEL DRIVE
    SHAWANO, WI
    ZIP 54166
  • Facility Phone: 715 526-9835
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOANNE M. OCHOWICZ

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CLIA Record

Field Name Field Value
CLIA Number 52D2149301
LAB Type Assisted Living Facility
Facility Name SHAWANO PLACE
Street 1088 ENGEL DRIVE
City SHAWANO
State WI
ZIP 54166
Phone 715 526-9835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Assisted Living Facility
Lab Director JOANNE M. OCHOWICZ

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