52D0963141 CLIA NUMBER - BROWN-WILCOX RETIREMENT HOME (CBRF)

Laboratory Demographics

  • CLIA Code: 52D0963141
  • Facility Name: BROWN-WILCOX RETIREMENT HOME (CBRF)
  • Facility Address: 347 E HURON STREET
    BERLIN, WI
    ZIP 54923
  • Facility Phone: 920 361-2552
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LINDA J. PISCHKE
  • NPI Number: 1962020792
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 52D0963141
LAB Type Other
Facility Name BROWN-WILCOX RETIREMENT HOME (CBRF)
Street 347 E HURON STREET
City BERLIN
State WI
ZIP 54923
Phone 920 361-2552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Other
Lab Director LINDA J. PISCHKE

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