52D2178751 CLIA NUMBER - SAGE MEADOWS DEPERE

Laboratory Demographics

  • CLIA Code: 52D2178751
  • Facility Name: SAGE MEADOWS DEPERE
  • Facility Address: 1880 SCHEURING ROAD
    DE PERE, WI
    ZIP 54115
  • Facility Phone: 920 338-3407
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. JOANNE O MALLEY-MATTIO

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CLIA Record

Field Name Field Value
CLIA Number 52D2178751
LAB Type Assisted Living Facility
Facility Name SAGE MEADOWS DEPERE
Street 1880 SCHEURING ROAD
City DE PERE
State WI
ZIP 54115
Phone 920 338-3407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Assisted Living Facility
Lab Director MS. JOANNE O MALLEY-MATTIO

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