52D2116174 CLIA NUMBER - RIVER PINES

Laboratory Demographics

  • CLIA Code: 52D2116174
  • Facility Name: RIVER PINES
  • Facility Address: 206 N WILSON DR
    ALTOONA, WI
    ZIP 54720
  • Facility Phone: 715 598-7800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. VICKI MIDDLETON
  • NPI Number: 1952756991
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2116174
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVER PINES
Street 206 N WILSON DR
City ALTOONA
State WI
ZIP 54720
Phone 715 598-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. VICKI MIDDLETON

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