52D2155864 CLIA NUMBER - COPPS FOOD CENTER PHARMACY #534-132

Laboratory Demographics

  • CLIA Code: 52D2155864
  • Facility Name: COPPS FOOD CENTER PHARMACY #534-132
  • Facility Address: 1500 PINECREST AVE
    STEVENS POINT, WI
    ZIP 54481
  • Facility Phone: (715) 345-7175
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1528323391
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2155864
LAB Type Other - PHARMACY
Facility Name COPPS FOOD CENTER PHARMACY #534-132
Street 1500 PINECREST AVE
City STEVENS POINT
State WI
ZIP 54481
Phone 7153457175
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: 5/18/2026