52D2305722 CLIA NUMBER - NORTH HAVEN

Laboratory Demographics

  • CLIA Code: 52D2305722
  • Facility Name: NORTH HAVEN
  • Facility Address: 2301 EAGLE SUMMIT
    STEVENS POINT, WI
    ZIP 54482
  • Facility Phone: 715 343-8820
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JAMIE HAGEN
  • NPI Number: 1376748608
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2305722
LAB Type Assisted Living Facility
Facility Name NORTH HAVEN
Street 2301 EAGLE SUMMIT
City STEVENS POINT
State WI
ZIP 54482
Phone 715 343-8820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Assisted Living Facility
Lab Director JAMIE HAGEN

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