52D1025156 CLIA NUMBER - AT-HOME HEALTHCARE

Laboratory Demographics

CLIA Number: 52D1025156

Facility Name: AT-HOME HEALTHCARE

Facility Address:
655 THIRD ST
BELOIT, WI
ZIP 53511
Get Directions

Facility Phone Number: 608 363-5885

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1841244282

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	52D1025156
LAB Type	Home Health Agency
Facility Name	AT-HOME HEALTHCARE
Street	655 THIRD ST
City	BELOIT
State	WI
ZIP	53511
Phone	608 363-5885
CertificateType	4
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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