52D2155869 CLIA NUMBER - PICK N SAVE PHARMACY #534-130

Laboratory Demographics

  • CLIA Code: 52D2155869
  • Facility Name: PICK N SAVE PHARMACY #534-130
  • Facility Address: 640 E MAIN ST
    SUN PRAIRIE, WI
    ZIP 53590
  • Facility Phone: 608 837-3821
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1790916781
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2155869
LAB Type Other - PHARMACY
Facility Name PICK N SAVE PHARMACY #534-130
Street 640 E MAIN ST
City SUN PRAIRIE
State WI
ZIP 53590
Phone 608 837-3821
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: 6/4/2025