52D2128928 CLIA NUMBER - NEW GLARUS HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2128928
  • Facility Name: NEW GLARUS HOMETOWN PHARMACY
  • Facility Address: 1101 WI-69 #7
    NEW GLARUS, WI
    ZIP 53574
  • Facility Phone: 608 527-2517
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN KEYES
  • NPI Number: 1730121039
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2128928
LAB Type Pharmacy
Facility Name NEW GLARUS HOMETOWN PHARMACY
Street 1101 WI-69 #7
City NEW GLARUS
State WI
ZIP 53574
Phone 608 527-2517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Pharmacy
Lab Director ERIN KEYES

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This page was last updated on: 6/4/2025