52D2152550 CLIA NUMBER - TUTTLES PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2152550
  • Facility Name: TUTTLES PHARMACY
  • Facility Address: 102 SOUTH MAIN ST
    FORT ATKINSON, WI
    ZIP 53538
  • Facility Phone: 920 563-2458
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. MICHAEL ZAGELOW
  • NPI Number: 1033180427
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2152550
LAB Type Pharmacy
Facility Name TUTTLES PHARMACY
Street 102 SOUTH MAIN ST
City FORT ATKINSON
State WI
ZIP 53538
Phone 920 563-2458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director MR. MICHAEL ZAGELOW

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