52D2205034 CLIA NUMBER - BROWNSTONE RX

Laboratory Demographics

  • CLIA Code: 52D2205034
  • Facility Name: BROWNSTONE RX
  • Facility Address: 114 WEST BAYFIELD ST
    WASHBURN, WI
    ZIP 54891
  • Facility Phone: 715 373-5588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. DELORA ANN PUFALL
  • NPI Number: 1568522704
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2205034
LAB Type Pharmacy
Facility Name BROWNSTONE RX
Street 114 WEST BAYFIELD ST
City WASHBURN
State WI
ZIP 54891
Phone 715 373-5588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director MS. DELORA ANN PUFALL

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