52D2195186 CLIA NUMBER - COMMUNITY CARE CLINIC/ AKA BRONSTON CHIRO CLINIC/ CHIROMED LLC

Laboratory Demographics

  • CLIA Code: 52D2195186
  • Facility Name: COMMUNITY CARE CLINIC/ AKA BRONSTON CHIRO CLINIC/ CHIROMED LLC
  • Facility Address: 1202 COUNTY ROAD PH SUITE 100
    ONALASKA, WI
    ZIP 54650
  • Facility Phone: 608 781-2225
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. LEO J. BRONSTON
  • NPI Number: 1225573785
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2195186
LAB Type Community Clinic
Facility Name COMMUNITY CARE CLINIC/ AKA BRONSTON CHIRO CLINIC/ CHIROMED LLC
Street 1202 COUNTY ROAD PH SUITE 100
City ONALASKA
State WI
ZIP 54650
Phone 608 781-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Community Clinic
Lab Director DR. LEO J. BRONSTON

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