52D0873182 CLIA NUMBER - AUGUSTA AREA HOME

Laboratory Demographics

  • CLIA Code: 52D0873182
  • Facility Name: AUGUSTA AREA HOME
  • Facility Address: 901 BRIDGE CREEK LANE
    AUGUSTA, WI
    ZIP 54722
  • Facility Phone: 715 286-2266
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAHN BRADLEY
  • NPI Number: 1093701088
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0873182
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUGUSTA AREA HOME
Street 901 BRIDGE CREEK LANE
City AUGUSTA
State WI
ZIP 54722
Phone 715 286-2266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAHN BRADLEY

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