52D2193657 CLIA NUMBER - GALLINA HEALTHCARE NETWORK LTD, DBA TIMBER OAKS

Home > CLIA Lookup > 52D2193657

Laboratory Demographics

CLIA Number: 52D2193657

Facility Name: GALLINA HEALTHCARE NETWORK LTD, DBA TIMBER OAKS

Facility Address:
1390 8TH AVENUE
UNION GROVE, WI
ZIP 53182
Get Directions

Facility Phone Number: 262 878-4899

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1942320056

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	52D2193657
LAB Type	Assisted Living Facility
Facility Name	GALLINA HEALTHCARE NETWORK LTD, DBA TIMBER OAKS
Street	1390 8TH AVENUE
City	UNION GROVE
State	WI
ZIP	53182
Phone	262 878-4899
CertificateType	4
CertificateEffectiveDate	9/23/2022
CertificateExpirationDate	9/22/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024