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52D1006146 CLIA NUMBER - FOUR WINDS LODGE

Laboratory Demographics

CLIA Number: 52D1006146

Facility Name: FOUR WINDS LODGE

Facility Address:
309 SCHWEITZER DR
VERONA, WI
ZIP 53593
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Facility Phone Number: 608 845-6154

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1902895592

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 52D1006146
LAB Type Other
Facility Name FOUR WINDS LODGE
Street 309 SCHWEITZER DR
City VERONA
State WI
ZIP 53593
Phone 608 845-6154
CertificateType 4
CertificateEffectiveDate 11/8/2022
CertificateExpirationDate 11/7/2024
FacilityType Waiver

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