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52D1090493 CLIA NUMBER - SOUTHWEST HEALTH CENTER SENIOR BEHAVIORAL SCIENCES

Laboratory Demographics

CLIA Number: 52D1090493

Facility Name: SOUTHWEST HEALTH CENTER SENIOR BEHAVIORAL SCIENCES

Facility Address:
1185 NORTH ELM STREET
PLATTEVILLE, WI
ZIP 53818
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Facility Phone Number: 608 342-4760

Facility Type: Rural Health Clinic

Certificate Type: Waiver
NPI Number: 1356426969

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 52D1090493
LAB Type Rural Health Clinic
Facility Name SOUTHWEST HEALTH CENTER SENIOR BEHAVIORAL SCIENCES
Street 1185 NORTH ELM STREET
City PLATTEVILLE
State WI
ZIP 53818
Phone 608 342-4760
CertificateType 4
CertificateEffectiveDate 10/13/2022
CertificateExpirationDate 10/12/2024
FacilityType Waiver

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