52D2106869 CLIA NUMBER - NORTH WEST WISCONSIN COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 52D2106869
  • Facility Name: NORTH WEST WISCONSIN COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 3440 OAKWOOD HILLS PKWY
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 855 380-8273
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: MS. LORI J. BIESECKER
  • NPI Number: 1700250784
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2106869
LAB Type Comp. Outpatient Rehab Facility
Facility Name NORTH WEST WISCONSIN COMPREHENSIVE TREATMENT CENTER
Street 3440 OAKWOOD HILLS PKWY
City EAU CLAIRE
State WI
ZIP 54701
Phone 855 380-8273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director MS. LORI J. BIESECKER

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