52D2155965 CLIA NUMBER - PICK N SAVE PHARMCAY #534-432

Laboratory Demographics

  • CLIA Code: 52D2155965
  • Facility Name: PICK N SAVE PHARMCAY #534-432
  • Facility Address: 1317 N 25TH STREET
    SHEBOYGAN, WI
    ZIP 53081
  • Facility Phone: (920) 457-5839
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1710298872
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2155965
LAB Type Other - PHARMACY
Facility Name PICK N SAVE PHARMCAY #534-432
Street 1317 N 25TH STREET
City SHEBOYGAN
State WI
ZIP 53081
Phone 9204575839
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Other - PHARMACY
Lab Director BIRGITTA MONSON

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This page was last updated on: 5/18/2026