52D0722737 CLIA NUMBER - MEADOWBROOK OF BLACK RIVER FALLS

Laboratory Demographics

  • CLIA Code: 52D0722737
  • Facility Name: MEADOWBROOK OF BLACK RIVER FALLS
  • Facility Address: 1311 TYLER STREET
    BLACK RIVER FALLS, WI
    ZIP 54615
  • Facility Phone: (715) 284-4396
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. TREASA KLING
  • NPI Number: 1164072898
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0722737
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEADOWBROOK OF BLACK RIVER FALLS
Street 1311 TYLER STREET
City BLACK RIVER FALLS
State WI
ZIP 54615
Phone 7152844396
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. TREASA KLING

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This page was last updated on: 6/29/2026