52D0921655 CLIA NUMBER - MANITOWOC PHARMACIES INC

Laboratory Demographics

  • CLIA Code: 52D0921655
  • Facility Name: MANITOWOC PHARMACIES INC
  • Facility Address: 919 S 8TH STREET
    MANITOWOC, WI
    ZIP 54220
  • Facility Phone: 920 684-6789
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MORGAN MEINERT
  • NPI Number: 1356352850
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0921655
LAB Type Pharmacy
Facility Name MANITOWOC PHARMACIES INC
Street 919 S 8TH STREET
City MANITOWOC
State WI
ZIP 54220
Phone 920 684-6789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Pharmacy
Lab Director MORGAN MEINERT

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