52D2126439 CLIA NUMBER - CUBA CITY HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2126439
  • Facility Name: CUBA CITY HOMETOWN PHARMACY
  • Facility Address: 122 N MAIN ST
    CUBA CITY, WI
    ZIP 53807
  • Facility Phone: 608 744-2440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JON WILSON
  • NPI Number: 1457782385
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2126439
LAB Type Pharmacy
Facility Name CUBA CITY HOMETOWN PHARMACY
Street 122 N MAIN ST
City CUBA CITY
State WI
ZIP 53807
Phone 608 744-2440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director MR. JON WILSON

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