52D2114985 CLIA NUMBER - PICK N SAVE PHARMACY #6389

Laboratory Demographics

  • CLIA Code: 52D2114985
  • Facility Name: PICK N SAVE PHARMACY #6389
  • Facility Address: 760 W JOHNSON ST
    FOND DU LAC, WI
    ZIP 54935
  • Facility Phone: 920 929-7422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1801944160
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2114985
LAB Type Pharmacy
Facility Name PICK N SAVE PHARMACY #6389
Street 760 W JOHNSON ST
City FOND DU LAC
State WI
ZIP 54935
Phone 920 929-7422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Pharmacy
Lab Director BIRGITTA MONSON

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