52D2322822 CLIA NUMBER - PRESBYTERIAN HOMES HOSPICE, DBA OPTAGE HOSPICE

Laboratory Demographics

  • CLIA Code: 52D2322822
  • Facility Name: PRESBYTERIAN HOMES HOSPICE, DBA OPTAGE HOSPICE
  • Facility Address: 222 PARK PL
    WAUKESHA, WI
    ZIP 53186
  • Facility Phone: 262 293-5415
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JILL NANCE
  • NPI Number: 1730916248
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 52D2322822
LAB Type Hospice
Facility Name PRESBYTERIAN HOMES HOSPICE, DBA OPTAGE HOSPICE
Street 222 PARK PL
City WAUKESHA
State WI
ZIP 53186
Phone 262 293-5415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Hospice
Lab Director JILL NANCE

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