52D2142325 CLIA NUMBER - ALGOMA HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2142325
  • Facility Name: ALGOMA HOMETOWN PHARMACY
  • Facility Address: 801 JEFFERSON ST
    ALGOMA, WI
    ZIP 54201
  • Facility Phone: 920 487-2887
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. SARAH BARTEL
  • NPI Number: 1912416991
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2142325
LAB Type Pharmacy
Facility Name ALGOMA HOMETOWN PHARMACY
Street 801 JEFFERSON ST
City ALGOMA
State WI
ZIP 54201
Phone 920 487-2887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Pharmacy
Lab Director MS. SARAH BARTEL

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