52D0389936 CLIA NUMBER - WILLIAMS BAY HEALTH SERVICES

Laboratory Demographics

CLIA Number: 52D0389936

Facility Name: WILLIAMS BAY HEALTH SERVICES

Facility Address:
146 CLOVER ST
WILLIAMS BAY, WI
ZIP 53191
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Facility Phone Number: 262 245-6400

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1386637544

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	52D0389936
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	WILLIAMS BAY HEALTH SERVICES
Street	146 CLOVER ST
City	WILLIAMS BAY
State	WI
ZIP	53191
Phone	262 245-6400
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024