52D0670512 CLIA NUMBER - RUTLEDGE HOME ASSISTED LIVING & MEMORY CARE

Laboratory Demographics

  • CLIA Code: 52D0670512
  • Facility Name: RUTLEDGE HOME ASSISTED LIVING & MEMORY CARE
  • Facility Address: 300 BRIDGEWATER AVE
    CHIPPEWA FALLS, WI
    ZIP 54729
  • Facility Phone: 715 723-5566
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. LISA SPALDING
  • NPI Number: 1821091190
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0670512
LAB Type Assisted Living Facility
Facility Name RUTLEDGE HOME ASSISTED LIVING & MEMORY CARE
Street 300 BRIDGEWATER AVE
City CHIPPEWA FALLS
State WI
ZIP 54729
Phone 715 723-5566
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 Assisted Living Facility
Lab Director MS. LISA SPALDING

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