52D2155862 CLIA NUMBER - METRO MARKET PHARMACY #534-890

Laboratory Demographics

  • CLIA Code: 52D2155862
  • Facility Name: METRO MARKET PHARMACY #534-890
  • Facility Address: 11558 N PORT WASHINGTON RD
    MEQUON, WI
    ZIP 53092
  • Facility Phone: 262 241-7983
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1518262922
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2155862
LAB Type Other - PHARMACY
Facility Name METRO MARKET PHARMACY #534-890
Street 11558 N PORT WASHINGTON RD
City MEQUON
State WI
ZIP 53092
Phone 262 241-7983
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Other - PHARMACY
Lab Director BIRGITTA MONSON

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