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52D2033515 CLIA NUMBER - CLARK COUNTY OPC

Laboratory Demographics

CLIA Number: 52D2033515

Facility Name: CLARK COUNTY OPC

Facility Address:
8 JOHNSON STREET
OWEN, WI
ZIP 54460
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Facility Phone Number: 715 229-4701

Facility Type: Community Clinic

Certificate Type: Accreditation
NPI Number: 1497812697

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 52D2033515
LAB Type Community Clinic
Facility Name CLARK COUNTY OPC
Street 8 JOHNSON STREET
City OWEN
State WI
ZIP 54460
Phone 715 229-4701
CertificateType 1
CertificateEffectiveDate 12/5/2011
CertificateExpirationDate 5/22/2026
FacilityType Accreditation

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