52D0711059 CLIA NUMBER - ASCENSION AT HOME

Laboratory Demographics

CLIA Number: 52D0711059

Facility Name: ASCENSION AT HOME

Facility Address:
816 W WINNECONNE AVE
NEENAH, WI
ZIP 54956
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Facility Phone Number: 866 236-8500

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1518062447

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	52D0711059
LAB Type	Home Health Agency
Facility Name	ASCENSION AT HOME
Street	816 W WINNECONNE AVE
City	NEENAH
State	WI
ZIP	54956
Phone	866 236-8500
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024