52D0670506 CLIA NUMBER - ELLSWORTH HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 52D0670506
  • Facility Name: ELLSWORTH HEALTH SERVICES
  • Facility Address: 403 N MAPLE ST
    ELLSWORTH, WI
    ZIP 54011
  • Facility Phone: (715) 273-5821
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MADILYN BERGH

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CLIA Record

Field Name Field Value
CLIA Number 52D0670506
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELLSWORTH HEALTH SERVICES
Street 403 N MAPLE ST
City ELLSWORTH
State WI
ZIP 54011
Phone 7152735821
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 MADILYN BERGH

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This page was last updated on: 5/18/2026