52D2187228 CLIA NUMBER - EAU CLAIRE CENTER MOHS SURGERY LAB

Laboratory Demographics

CLIA Number: 52D2187228

Facility Name: EAU CLAIRE CENTER MOHS SURGERY LAB

Facility Address:
2116 CRAIG ROAD
EAU CLAIRE, WI
ZIP 54701
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Facility Phone Number: 715 221-6300

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1871159103

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name	Field Value
CLIA Number	52D2187228
LAB Type	Physician Office
Facility Name	EAU CLAIRE CENTER MOHS SURGERY LAB
Street	2116 CRAIG ROAD
City	EAU CLAIRE
State	WI
ZIP	54701
Phone	715 221-6300
CertificateType	1
CertificateEffectiveDate	8/19/2023
CertificateExpirationDate	8/18/2025
FacilityType	Accreditation

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