52D2125189 CLIA NUMBER - MURDOCK HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2125189
  • Facility Name: MURDOCK HOMETOWN PHARMACY
  • Facility Address: 1828 N JACKSON ST
    OSHKOSH, WI
    ZIP 54901
  • Facility Phone: 920 213-3300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER VILLENEUVE
  • NPI Number: 1942542535
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2125189
LAB Type Pharmacy
Facility Name MURDOCK HOMETOWN PHARMACY
Street 1828 N JACKSON ST
City OSHKOSH
State WI
ZIP 54901
Phone 920 213-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Pharmacy
Lab Director MS. JENNIFER VILLENEUVE

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