52D2197749 CLIA NUMBER - LINDEN MANOR

Laboratory Demographics

  • CLIA Code: 52D2197749
  • Facility Name: LINDEN MANOR
  • Facility Address: 1204 FOURTH STREET
    KEWAUNEE, WI
    ZIP 54216
  • Facility Phone: 920 388-0110
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. MARYKAY MESSMANN
  • NPI Number: 1578754511
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2197749
LAB Type Assisted Living Facility
Facility Name LINDEN MANOR
Street 1204 FOURTH STREET
City KEWAUNEE
State WI
ZIP 54216
Phone 920 388-0110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Assisted Living Facility
Lab Director MS. MARYKAY MESSMANN

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