52D2128356 CLIA NUMBER - BAY HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2128356
  • Facility Name: BAY HOMETOWN PHARMACY
  • Facility Address: 231 NORTH 7TH AVE
    STURGEON BAY, WI
    ZIP 54235
  • Facility Phone: 920 746-4110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH STUBENVOLL
  • NPI Number: 1083011530
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2128356
LAB Type Pharmacy
Facility Name BAY HOMETOWN PHARMACY
Street 231 NORTH 7TH AVE
City STURGEON BAY
State WI
ZIP 54235
Phone 920 746-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director ELIZABETH STUBENVOLL

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