52D0662079 CLIA NUMBER - ASPIRUS WOODRUFF CLINIC-MAPLE STREET ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS

Laboratory Demographics

CLIA Number: 52D0662079

Facility Name: ASPIRUS WOODRUFF CLINIC-MAPLE STREET ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS

Facility Address:
240 MAPLE ST
WOODRUFF, WI
ZIP 54568
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Facility Phone Number: 715 356-8718

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1073770681

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 52D0662079
LAB Type Physician Office
Facility Name ASPIRUS WOODRUFF CLINIC-MAPLE STREET ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS
Street 240 MAPLE ST
City WOODRUFF
State WI
ZIP 54568
Phone 715 356-8718
CertificateType 3
CertificateEffectiveDate 5/16/2022
CertificateExpirationDate 5/15/2024
FacilityType PPMP

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