52D2107863 CLIA NUMBER - METRO MARKET PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2107863
  • Facility Name: METRO MARKET PHARMACY
  • Facility Address: 4075 N OAKLAND AVE
    SHOREWOOD, WI
    ZIP 53211
  • Facility Phone: 414 962-3744
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1720443146
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2107863
LAB Type Pharmacy
Facility Name METRO MARKET PHARMACY
Street 4075 N OAKLAND AVE
City SHOREWOOD
State WI
ZIP 53211
Phone 414 962-3744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director BIRGITTA MONSON

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