52D2046834 CLIA NUMBER - BURKWOOD TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 52D2046834
  • Facility Name: BURKWOOD TREATMENT CENTER
  • Facility Address: 615 OLD MILL RD
    HUDSON, WI
    ZIP 54016
  • Facility Phone: 715 386-6125
  • Facility Type: Other - RESIDENTI TREATMENT CENTR
  • Facility Type: Waiver
  • Lab Director: JODI D. SIMMONS
  • NPI Number: 1356412506
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2046834
LAB Type Other - RESIDENTI TREATMENT CENTR
Facility Name BURKWOOD TREATMENT CENTER
Street 615 OLD MILL RD
City HUDSON
State WI
ZIP 54016
Phone 715 386-6125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other - RESIDENTI TREATMENT CENTR
Lab Director JODI D. SIMMONS

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