52D1056870 CLIA NUMBER - MOORE GENUINE CARE LLC

Laboratory Demographics

  • CLIA Code: 52D1056870
  • Facility Name: MOORE GENUINE CARE LLC
  • Facility Address: 711 ANDERSON ST LL PO BOX 58
    AUGUSTA, WI
    ZIP 54722
  • Facility Phone: 715 286-2734
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHARLOTTE M. MOORE
  • NPI Number: 1154376747
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 52D1056870
LAB Type Home Health Agency
Facility Name MOORE GENUINE CARE LLC
Street 711 ANDERSON ST LL PO BOX 58
City AUGUSTA
State WI
ZIP 54722
Phone 715 286-2734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Home Health Agency
Lab Director CHARLOTTE M. MOORE

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