52D2155863 CLIA NUMBER - METRO MARKET PHARMACY #534-301

Laboratory Demographics

  • CLIA Code: 52D2155863
  • Facility Name: METRO MARKET PHARMACY #534-301
  • Facility Address: 17630 W BLUEMOUND RD
    BROOKFIELD, WI
    ZIP 53045
  • Facility Phone: 262 784-2490
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1164745162
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2155863
LAB Type Other - PHARMACY
Facility Name METRO MARKET PHARMACY #534-301
Street 17630 W BLUEMOUND RD
City BROOKFIELD
State WI
ZIP 53045
Phone 262 784-2490
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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