52D2242749 CLIA NUMBER - ARBOR VILLAGE INC

Laboratory Demographics

  • CLIA Code: 52D2242749
  • Facility Name: ARBOR VILLAGE INC
  • Facility Address: 620 HARPER AVE
    PESHTIGO, WI
    ZIP 54157
  • Facility Phone: 715 801-0388
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NANCY KAFURA
  • NPI Number: 1659942316
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2242749
LAB Type Assisted Living Facility
Facility Name ARBOR VILLAGE INC
Street 620 HARPER AVE
City PESHTIGO
State WI
ZIP 54157
Phone 715 801-0388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/11/2023
Certificate Expiration Date 11/10/2025
Facility Type Assisted Living Facility
Lab Director NANCY KAFURA

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