52D0664851 CLIA NUMBER - EAU CLAIRE CITY/COUNTY HEALTH DEPT

Laboratory Demographics

CLIA Number: 52D0664851

Facility Name: EAU CLAIRE CITY/COUNTY HEALTH DEPT

Facility Address:
720 SECOND AVE
EAU CLAIRE, WI
ZIP 54703
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Facility Phone Number: 715 839-4718

Facility Type: Public Health Laboratories

Certificate Type: Microscopy

NPI Number: 1225483126

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 52D0664851
LAB Type Public Health Laboratories
Facility Name EAU CLAIRE CITY/COUNTY HEALTH DEPT
Street 720 SECOND AVE
City EAU CLAIRE
State WI
ZIP 54703
Phone 715 839-4718
CertificateType 3
CertificateEffectiveDate 8/15/2022
CertificateExpirationDate 8/14/2024
FacilityType PPMP

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