52D0662129 CLIA NUMBER - SHELL LAKE HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 52D0662129

Facility Name: SHELL LAKE HEALTHCARE CENTER

Facility Address:
802 E CO RD B
SHELL LAKE, WI
ZIP 54871
Get Directions

Facility Phone Number: 715 468-7292

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1508225988

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
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