52D2073171 CLIA NUMBER - SPRING BROOK ASSISTED LIVING

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Laboratory Demographics

CLIA Number: 52D2073171

Facility Name: SPRING BROOK ASSISTED LIVING

Facility Address:
861 CRITTER CT
ONALASKA, WI
ZIP 54650
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Facility Phone Number: 608 783-2292

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1518304104

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	52D2073171
LAB Type	Assisted Living Facility
Facility Name	SPRING BROOK ASSISTED LIVING
Street	861 CRITTER CT
City	ONALASKA
State	WI
ZIP	54650
Phone	608 783-2292
CertificateType	4
CertificateEffectiveDate	2/12/2024
CertificateExpirationDate	2/11/2026
FacilityType	Waiver

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