52D2134164 CLIA NUMBER - PICK N SAVE PHARMACY #380

Laboratory Demographics

  • CLIA Code: 52D2134164
  • Facility Name: PICK N SAVE PHARMACY #380
  • Facility Address: N65W24838 MAIN ST
    SUSSEX, WI
    ZIP 53089
  • Facility Phone: 262 946-6363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1225569643
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2134164
LAB Type Pharmacy
Facility Name PICK N SAVE PHARMACY #380
Street N65W24838 MAIN ST
City SUSSEX
State WI
ZIP 53089
Phone 262 946-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director BIRGITTA MONSON

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