52D0394321 CLIA NUMBER - PRESCOTT NURSING & REHABILITATION COMMUNITY

Laboratory Demographics

  • CLIA Code: 52D0394321
  • Facility Name: PRESCOTT NURSING & REHABILITATION COMMUNITY
  • Facility Address: 1505 ORRIN RD
    PRESCOTT, WI
    ZIP 54021
  • Facility Phone: 715 262-5661
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CONNOR HINRICHS
  • NPI Number: 1922090521
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0394321
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRESCOTT NURSING & REHABILITATION COMMUNITY
Street 1505 ORRIN RD
City PRESCOTT
State WI
ZIP 54021
Phone 715 262-5661
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 CONNOR HINRICHS

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