52D2156016 CLIA NUMBER - PICK N SAVE PHARMACY #534-413

Laboratory Demographics

  • CLIA Code: 52D2156016
  • Facility Name: PICK N SAVE PHARMACY #534-413
  • Facility Address: 36903 E WISCONSIN AVE
    OCONOMOWOC, WI
    ZIP 53066
  • Facility Phone: 262 567-7938
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: BIRGITTA MONSON
  • NPI Number: 1740439934
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2156016
LAB Type Other - PHARMACY
Facility Name PICK N SAVE PHARMACY #534-413
Street 36903 E WISCONSIN AVE
City OCONOMOWOC
State WI
ZIP 53066
Phone 262 567-7938
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: 9/29/2025