52D2126389 CLIA NUMBER - CORNER DRUG HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2126389
  • Facility Name: CORNER DRUG HOMETOWN PHARMACY
  • Facility Address: 316 WEST SPRING STREET, SUITE 6
    DODGEVILLE, WI
    ZIP 53533
  • Facility Phone: 608 935-3661
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE KAMHOLZ
  • NPI Number: 1992751143
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2126389
LAB Type Pharmacy
Facility Name CORNER DRUG HOMETOWN PHARMACY
Street 316 WEST SPRING STREET, SUITE 6
City DODGEVILLE
State WI
ZIP 53533
Phone 608 935-3661
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 NICOLE KAMHOLZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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