52D2231822 CLIA NUMBER - ANGELS TOUCH CBRF

Laboratory Demographics

  • CLIA Code: 52D2231822
  • Facility Name: ANGELS TOUCH CBRF
  • Facility Address: 394 ANGELS TOUCH CT
    DE PERE, WI
    ZIP 54115
  • Facility Phone: 920 676-1604
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KERRY SHEPARD
  • NPI Number: 1396951695
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 52D2231822
LAB Type Assisted Living Facility
Facility Name ANGELS TOUCH CBRF
Street 394 ANGELS TOUCH CT
City DE PERE
State WI
ZIP 54115
Phone 920 676-1604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Assisted Living Facility
Lab Director KERRY SHEPARD

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