52D0983990 CLIA NUMBER - ORTHOPAEDIC HOSPITAL OF WISCONSIN, LLC

Laboratory Demographics

CLIA Number: 52D0983990

Facility Name: ORTHOPAEDIC HOSPITAL OF WISCONSIN, LLC

Facility Address:
475 W RIVER WOODS PKWY
GLENDALE, WI
ZIP 53212
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Facility Phone Number: 414 961-6680

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1669584983

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	52D0983990
LAB Type	Hospital
Facility Name	ORTHOPAEDIC HOSPITAL OF WISCONSIN, LLC
Street	475 W RIVER WOODS PKWY
City	GLENDALE
State	WI
ZIP	53212
Phone	414 961-6680
CertificateType	2
CertificateEffectiveDate	4/4/2023
CertificateExpirationDate	4/3/2025
FacilityType	Compliance

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