52D0921597 CLIA NUMBER - BRADLEY CHIROPRACTIC & PHYSICAL THERAPY

Laboratory Demographics

  • CLIA Code: 52D0921597
  • Facility Name: BRADLEY CHIROPRACTIC & PHYSICAL THERAPY
  • Facility Address: 151515 ROBIN LN
    WAUSAU, WI
    ZIP 54401
  • Facility Phone: 715 845-3775
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. BARBARA C. BRADLEY
  • NPI Number: 1407976319
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 52D0921597
LAB Type Practitioner Other
Facility Name BRADLEY CHIROPRACTIC & PHYSICAL THERAPY
Street 151515 ROBIN LN
City WAUSAU
State WI
ZIP 54401
Phone 715 845-3775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Practitioner Other
Lab Director DR. BARBARA C. BRADLEY

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