52D0670418 CLIA NUMBER - RIB LAKE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0670418
  • Facility Name: RIB LAKE HEALTH SERVICES
  • Facility Address: 650 PEARL ST
    RIB LAKE, WI
    ZIP 54470
  • Facility Phone: 715 427-5291
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANIJELA DECKER
  • NPI Number: 1831631704
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0670418
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIB LAKE HEALTH SERVICES
Street 650 PEARL ST
City RIB LAKE
State WI
ZIP 54470
Phone 715 427-5291
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 DANIJELA DECKER

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