52D0396365 CLIA NUMBER - PINE VIEW NURSING HOME

Laboratory Demographics

  • CLIA Code: 52D0396365
  • Facility Name: PINE VIEW NURSING HOME
  • Facility Address: 400 COUNTY RD R
    BLACK RIVER FALLS, WI
    ZIP 54615
  • Facility Phone: 715 284-5396
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. KLARE A. VOLGREN
  • NPI Number: 1831209709
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0396365
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE VIEW NURSING HOME
Street 400 COUNTY RD R
City BLACK RIVER FALLS
State WI
ZIP 54615
Phone 715 284-5396
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 MS. KLARE A. VOLGREN

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