52D0662129 CLIA NUMBER - SHELL LAKE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 52D0662129
  • Facility Name: SHELL LAKE HEALTHCARE CENTER
  • Facility Address: 802 E CO RD B
    SHELL LAKE, WI
    ZIP 54871
  • Facility Phone: 715 468-7292
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. KRISTINA DUGGER
  • NPI Number: 1508225988
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0662129
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHELL LAKE HEALTHCARE CENTER
Street 802 E CO RD B
City SHELL LAKE
State WI
ZIP 54871
Phone 715 468-7292
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. KRISTINA DUGGER

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