52D2226857 CLIA NUMBER - BRIGHTON HOSPICE

Laboratory Demographics

CLIA Number: 52D2226857

Facility Name: BRIGHTON HOSPICE

Facility Address:
1350 DEMING WAY SUITE 400
MIDDLETON, WI
ZIP 53562
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Facility Phone Number: 608 820-1646

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1366194128

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	52D2226857
LAB Type	Hospice
Facility Name	BRIGHTON HOSPICE
Street	1350 DEMING WAY SUITE 400
City	MIDDLETON
State	WI
ZIP	53562
Phone	608 820-1646
CertificateType	4
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	Waiver

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