52D0685199 CLIA NUMBER - FREDERIC NURSING & REHABILITATION COMMUNITY

Laboratory Demographics

  • CLIA Code: 52D0685199
  • Facility Name: FREDERIC NURSING & REHABILITATION COMMUNITY
  • Facility Address: 205 UNITED WAY
    FREDERIC, WI
    ZIP 54837
  • Facility Phone: 715 327-4297
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RUTH TAYLOR
  • NPI Number: 1366440430
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0685199
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FREDERIC NURSING & REHABILITATION COMMUNITY
Street 205 UNITED WAY
City FREDERIC
State WI
ZIP 54837
Phone 715 327-4297
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 RUTH TAYLOR

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