52D0688316 CLIA NUMBER - NORTHERN LIGHTS SERVICES, INC NORTHERN LIGHTS HEALTH CARE CENTER & HOME HEALTH

Laboratory Demographics

  • CLIA Code: 52D0688316
  • Facility Name: NORTHERN LIGHTS SERVICES, INC NORTHERN LIGHTS HEALTH CARE CENTER & HOME HEALTH
  • Facility Address: 706 BRATLEY DR
    WASHBURN, WI
    ZIP 54891
  • Facility Phone: 715 373-5621
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER AUGUSTINE
  • NPI Number: 1336198191
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0688316
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHERN LIGHTS SERVICES, INC NORTHERN LIGHTS HEALTH CARE CENTER & HOME HEALTH
Street 706 BRATLEY DR
City WASHBURN
State WI
ZIP 54891
Phone 715 373-5621
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 MS. JENNIFER AUGUSTINE

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