52D2225272 CLIA NUMBER - PIERCE COUNTY JAIL HEALTH SERVICES

Laboratory Demographics

CLIA Number: 52D2225272

Facility Name: PIERCE COUNTY JAIL HEALTH SERVICES

Facility Address:
555 WEST OVERLOOK DRIVE
ELLSWORTH, WI
ZIP 54011
Get Directions

Facility Phone Number: 715 273-6869

Facility Type: Other - COUNTY JAIL

Certificate Type: Waiver

NPI Number: 1356414940

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	52D2225272
LAB Type	Other - COUNTY JAIL
Facility Name	PIERCE COUNTY JAIL HEALTH SERVICES
Street	555 WEST OVERLOOK DRIVE
City	ELLSWORTH
State	WI
ZIP	54011
Phone	715 273-6869
CertificateType	4
CertificateEffectiveDate	5/20/2023
CertificateExpirationDate	5/19/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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