52D0670336 CLIA NUMBER - WISCONSIN DELLS HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0670336
  • Facility Name: WISCONSIN DELLS HEALTH SERVICES
  • Facility Address: 300 RACE ST
    WISCONSIN DELLS, WI
    ZIP 53965
  • Facility Phone: 608 254-2574
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JORDYN HAMMERLY
  • NPI Number: 1962954131
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0670336
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WISCONSIN DELLS HEALTH SERVICES
Street 300 RACE ST
City WISCONSIN DELLS
State WI
ZIP 53965
Phone 608 254-2574
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 JORDYN HAMMERLY

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