52D2114988 CLIA NUMBER - PICK N SAVE PHARMACY #8123

Laboratory Demographics

  • CLIA Code: 52D2114988
  • Facility Name: PICK N SAVE PHARMACY #8123
  • Facility Address: 2700 N BALLARD RD
    APPLETON, WI
    ZIP 54911
  • Facility Phone: (920) 996-0121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1487895108
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2114988
LAB Type Pharmacy
Facility Name PICK N SAVE PHARMACY #8123
Street 2700 N BALLARD RD
City APPLETON
State WI
ZIP 54911
Phone 9209960121
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: 5/18/2026