52D0394064 CLIA NUMBER - COLUMBUS HEALTH AND REHAB

Laboratory Demographics

  • CLIA Code: 52D0394064
  • Facility Name: COLUMBUS HEALTH AND REHAB
  • Facility Address: 825 WESTERN AVE
    COLUMBUS, WI
    ZIP 53925
  • Facility Phone: 920 623-2520
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RACHEL SHUNK
  • NPI Number: 1750376489
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0394064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLUMBUS HEALTH AND REHAB
Street 825 WESTERN AVE
City COLUMBUS
State WI
ZIP 53925
Phone 920 623-2520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RACHEL SHUNK

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