52D0925468 CLIA NUMBER - STREU'S PHARMACY

Laboratory Demographics

  • CLIA Code: 52D0925468
  • Facility Name: STREU'S PHARMACY
  • Facility Address: 635 MAIN ST
    GREEN BAY, WI
    ZIP 54301
  • Facility Phone: 920 437-0206
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JANE KOZICKI
  • NPI Number: 1104827146
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D0925468
LAB Type Pharmacy
Facility Name STREU'S PHARMACY
Street 635 MAIN ST
City GREEN BAY
State WI
ZIP 54301
Phone 920 437-0206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Pharmacy
Lab Director MS. JANE KOZICKI

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