52D0662076 CLIA NUMBER - FLAMBEAU HOME HEALTH AND HOSPICE

Home > CLIA Lookup > 52D0662076

Laboratory Demographics

CLIA Number: 52D0662076

Facility Name: FLAMBEAU HOME HEALTH AND HOSPICE

Facility Address:
133 N LAKE AVE
PHILLIPS, WI
ZIP 54555
Get Directions

Facility Phone Number: 715 339-4371

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1205874443

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	52D0662076
LAB Type	Home Health Agency
Facility Name	FLAMBEAU HOME HEALTH AND HOSPICE
Street	133 N LAKE AVE
City	PHILLIPS
State	WI
ZIP	54555
Phone	715 339-4371
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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