52D2197766 CLIA NUMBER - VESTA MEMORY CARE

Laboratory Demographics

  • CLIA Code: 52D2197766
  • Facility Name: VESTA MEMORY CARE
  • Facility Address: 3965 BRADEE RD
    BROOKFIELD, WI
    ZIP 53005
  • Facility Phone: 414 234-5550
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. JAYNE R. ZIEHM
  • NPI Number: 1750996195
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 52D2197766
LAB Type Assisted Living Facility
Facility Name VESTA MEMORY CARE
Street 3965 BRADEE RD
City BROOKFIELD
State WI
ZIP 53005
Phone 414 234-5550
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. JAYNE R. ZIEHM

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