52D0984282 CLIA NUMBER - CORNERSTONE FOUNDATION

Laboratory Demographics

CLIA Code: 52D0984282
Facility Name: CORNERSTONE FOUNDATION
Facility Address: 201 N KENZIE ST
BARNEVELD, WI
ZIP 53507
Facility Phone: 608 935-1649
Facility Type: Other
Facility Type: Waiver
Lab Director: PENNY J. STARR
NPI Number: 1699062182
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	52D0984282
LAB Type	Other
Facility Name	CORNERSTONE FOUNDATION
Street	201 N KENZIE ST
City	BARNEVELD
State	WI
ZIP	53507
Phone	608 935-1649
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/19/2025
Certificate Expiration Date	3/18/2027
Facility Type	Other
Lab Director	PENNY J. STARR

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: 6/4/2025