52D2234500 CLIA NUMBER - ARBOR PLACE INC

Laboratory Demographics

  • CLIA Code: 52D2234500
  • Facility Name: ARBOR PLACE INC
  • Facility Address: 4076 KOTHLOW AVE
    MENOMONIE, WI
    ZIP 54751
  • Facility Phone: 715 235-4537
  • Facility Type: Other - RESIDENTIAL D&A REHAB
  • Facility Type: Waiver
  • Lab Director: JILL M. GAMEZ
  • NPI Number: 1013458173
  • Taxonomy: 101YM0800X - Counselor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2234500
LAB Type Other - RESIDENTIAL D&A REHAB
Facility Name ARBOR PLACE INC
Street 4076 KOTHLOW AVE
City MENOMONIE
State WI
ZIP 54751
Phone 715 235-4537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Other - RESIDENTIAL D&A REHAB
Lab Director JILL M. GAMEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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