52D2227227 CLIA NUMBER - DRIFTLESS RECOVERY INC

Laboratory Demographics

  • CLIA Code: 52D2227227
  • Facility Name: DRIFTLESS RECOVERY INC
  • Facility Address: 444 MAIN STREET, STE 301
    LA CROSSE, WI
    ZIP 54601
  • Facility Phone: 608 519-5906
  • Facility Type: Other - OUTPATIENT BEHAVIORAL HEA
  • Facility Type: Waiver
  • Lab Director: BRETT KNUTSON
  • NPI Number: 1154712552
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2227227
LAB Type Other - OUTPATIENT BEHAVIORAL HEA
Facility Name DRIFTLESS RECOVERY INC
Street 444 MAIN STREET, STE 301
City LA CROSSE
State WI
ZIP 54601
Phone 608 519-5906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Other - OUTPATIENT BEHAVIORAL HEA
Lab Director BRETT KNUTSON

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