52D2305729 CLIA NUMBER - NORTH CREST

Laboratory Demographics

  • CLIA Code: 52D2305729
  • Facility Name: NORTH CREST
  • Facility Address: 2225 EAGLE SUMMIT
    STEVENS POINT, WI
    ZIP 54482
  • Facility Phone: 715 343-1288
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JAMIE HAGEN
  • NPI Number: 1992900229
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2305729
LAB Type Assisted Living Facility
Facility Name NORTH CREST
Street 2225 EAGLE SUMMIT
City STEVENS POINT
State WI
ZIP 54482
Phone 715 343-1288
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