52D2143015 CLIA NUMBER - WELLTOPIA PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2143015
  • Facility Name: WELLTOPIA PHARMACY
  • Facility Address: 136 N MAIN ST
    THIENSVILLE, WI
    ZIP 53092
  • Facility Phone: 262 429-9429
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OMAR ELIWA
  • NPI Number: 1306427349
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2143015
LAB Type Pharmacy
Facility Name WELLTOPIA PHARMACY
Street 136 N MAIN ST
City THIENSVILLE
State WI
ZIP 53092
Phone 262 429-9429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Pharmacy
Lab Director OMAR ELIWA

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