52D0721941 CLIA NUMBER - VILLA-MARINA HEALTH & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 52D0721941
  • Facility Name: VILLA-MARINA HEALTH & REHAB CENTER
  • Facility Address: 35 N 28TH ST
    SUPERIOR, WI
    ZIP 54880
  • Facility Phone: 715 392-3300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY C. KLEINSCHMIDT
  • NPI Number: 1134123573
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0721941
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VILLA-MARINA HEALTH & REHAB CENTER
Street 35 N 28TH ST
City SUPERIOR
State WI
ZIP 54880
Phone 715 392-3300
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 DR. TIMOTHY C. KLEINSCHMIDT

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This page was last updated on: 6/4/2025