52D0995461 CLIA NUMBER - VERNON AREA REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 52D0995461

Facility Name: VERNON AREA REHABILITATION CENTER

Facility Address:
1133 NELSON PARKWAY
VIROQUA, WI
ZIP 54665
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Facility Phone Number: 608 637-3934

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1770719213

Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

CLIA Record

Field Name	Field Value
CLIA Number	52D0995461
LAB Type	Other
Facility Name	VERNON AREA REHABILITATION CENTER
Street	1133 NELSON PARKWAY
City	VIROQUA
State	WI
ZIP	54665
Phone	608 637-3934
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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