RENAISSANCE - DEPERE
NPI 1831584937
Assisted Living Facility in De Pere, WI
About Renaissance - Depere NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENAISSANCE - DEPERE (NPI 1831584937) is a healthcare organization registered as an assisted living facility in De Pere, Wisconsin and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Neil Johnson, Controller, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other Names 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0983654
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- February 27, 2025
- Certificate Expiration Date
- February 26, 2027
- Laboratory Director
- MR. MICHAEL MILLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Renaissance - Depere to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831584937, enumerated as an "organization" on April 06, 2015.
The provider is located at 250 S 9TH ST DE PERE, WI 54115 and the phone number is (920) 983-5100.
Assisted Living Facility with taxonomy code 310400000X.
