52D2185600 CLIA NUMBER - RED CEDAR CANYON ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 52D2185600
  • Facility Name: RED CEDAR CANYON ASSISTED LIVING
  • Facility Address: 3001 HANLEY ROAD
    HUDSON, WI
    ZIP 54016
  • Facility Phone: 715 383-7333
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NED AMMONS
  • NPI Number: 1144472572
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2185600
LAB Type Assisted Living Facility
Facility Name RED CEDAR CANYON ASSISTED LIVING
Street 3001 HANLEY ROAD
City HUDSON
State WI
ZIP 54016
Phone 715 383-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Assisted Living Facility
Lab Director NED AMMONS

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