52D2079631 CLIA NUMBER - WILDBERG CHIROPRACTIC OFFICE, SC

Laboratory Demographics

  • CLIA Code: 52D2079631
  • Facility Name: WILDBERG CHIROPRACTIC OFFICE, SC
  • Facility Address: 805 W BROADWAY
    MEDFORD, WI
    ZIP 54451
  • Facility Phone: 715 748-2334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY D. WILDBERG
  • NPI Number: 1558734251
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2079631
LAB Type Physician Office
Facility Name WILDBERG CHIROPRACTIC OFFICE, SC
Street 805 W BROADWAY
City MEDFORD
State WI
ZIP 54451
Phone 715 748-2334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director BRADLEY D. WILDBERG

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