52D2135323 CLIA NUMBER - PICK N SAVE PHARMACY #417

Laboratory Demographics

  • CLIA Code: 52D2135323
  • Facility Name: PICK N SAVE PHARMACY #417
  • Facility Address: 2518 W WASHINGTON STREET
    WEST BEND, WI
    ZIP 53095
  • Facility Phone: 262 334-4033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1700114337
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2135323
LAB Type Pharmacy
Facility Name PICK N SAVE PHARMACY #417
Street 2518 W WASHINGTON STREET
City WEST BEND
State WI
ZIP 53095
Phone 262 334-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director BIRGITTA MONSON

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