52D2007709 CLIA NUMBER - ROSEMARY THORNTON

Laboratory Demographics

  • CLIA Code: 52D2007709
  • Facility Name: ROSEMARY THORNTON
  • Facility Address: W1566 STATE ROAD 11
    BURLINGTON, WI
    ZIP 53105
  • Facility Phone: 262 210-2422
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. ROSEMARY A. THORNTON
  • NPI Number: 1336383470
  • Taxonomy: 176B00000X - Midwife

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CLIA Record

Field Name Field Value
CLIA Number 52D2007709
LAB Type Practitioner Other
Facility Name ROSEMARY THORNTON
Street W1566 STATE ROAD 11
City BURLINGTON
State WI
ZIP 53105
Phone 262 210-2422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Practitioner Other
Lab Director MS. ROSEMARY A. THORNTON

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