52D0695521 CLIA NUMBER - BAD RIVER HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 52D0695521
  • Facility Name: BAD RIVER HEALTH CLINIC
  • Facility Address: 53585 NOKOMIS RD
    ASHLAND, WI
    ZIP 54806
  • Facility Phone: 715 682-7133
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MRS. SUSAN L. HACKWORTHY
  • NPI Number: 1144581398
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 52D0695521
LAB Type Community Clinic
Facility Name BAD RIVER HEALTH CLINIC
Street 53585 NOKOMIS RD
City ASHLAND
State WI
ZIP 54806
Phone 715 682-7133
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Community Clinic
Lab Director MRS. SUSAN L. HACKWORTHY

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