52D2285853 CLIA NUMBER - AVID AT HOME LLC

Laboratory Demographics

  • CLIA Code: 52D2285853
  • Facility Name: AVID AT HOME LLC
  • Facility Address: 810 CARDINAL LANE, STE 230
    HARTLAND, WI
    ZIP 53029
  • Facility Phone: 262 361-0688
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER MCLEOD
  • NPI Number: 1457084097
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 52D2285853
LAB Type Home Health Agency
Facility Name AVID AT HOME LLC
Street 810 CARDINAL LANE, STE 230
City HARTLAND
State WI
ZIP 53029
Phone 262 361-0688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Home Health Agency
Lab Director JENNIFER MCLEOD

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