52D2153156 CLIA NUMBER - HARTLAND PLACE

Laboratory Demographics

  • CLIA Code: 52D2153156
  • Facility Name: HARTLAND PLACE
  • Facility Address: 444 MERTON AVENUE
    HARTLAND, WI
    ZIP 53029
  • Facility Phone: 262 352-4702
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE L. KUNZE
  • NPI Number: 1043435829
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 52D2153156
LAB Type Assisted Living Facility
Facility Name HARTLAND PLACE
Street 444 MERTON AVENUE
City HARTLAND
State WI
ZIP 53029
Phone 262 352-4702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Assisted Living Facility
Lab Director NICOLE L. KUNZE

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