52D2151040 CLIA NUMBER - APPLETON RETIREMENT, LLC (DBA) PRIMROSE OF APPLETON

Laboratory Demographics

  • CLIA Code: 52D2151040
  • Facility Name: APPLETON RETIREMENT, LLC (DBA) PRIMROSE OF APPLETON
  • Facility Address: 5715 N MEADE STREET
    APPLETON, WI
    ZIP 54913
  • Facility Phone: 920 740-5326
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KAYLA DUKE
  • NPI Number: 1235246869
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 52D2151040
LAB Type Assisted Living Facility
Facility Name APPLETON RETIREMENT, LLC (DBA) PRIMROSE OF APPLETON
Street 5715 N MEADE STREET
City APPLETON
State WI
ZIP 54913
Phone 920 740-5326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Assisted Living Facility
Lab Director KAYLA DUKE

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