52D2006824 CLIA NUMBER - ASPIRUS PHILLIPS CLINIC

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Laboratory Demographics

CLIA Number: 52D2006824

Facility Name: ASPIRUS PHILLIPS CLINIC

Facility Address:
625 PETERSON AVE
PHILLIPS, WI
ZIP 54555
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Facility Phone Number: 715 748-8176

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1891971768

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D2006824
LAB Type	Rural Health Clinic
Facility Name	ASPIRUS PHILLIPS CLINIC
Street	625 PETERSON AVE
City	PHILLIPS
State	WI
ZIP	54555
Phone	715 748-8176
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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