52D2144322 CLIA NUMBER - METRO MARKET #371

Laboratory Demographics

  • CLIA Code: 52D2144322
  • Facility Name: METRO MARKET #371
  • Facility Address: 1123 N VAN BUREN ST
    MILWAUKEE, WI
    ZIP 53202
  • Facility Phone: 414 347-9219
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1184772444
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2144322
LAB Type Pharmacy
Facility Name METRO MARKET #371
Street 1123 N VAN BUREN ST
City MILWAUKEE
State WI
ZIP 53202
Phone 414 347-9219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Pharmacy
Lab Director BIRGITTA MONSON

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