52D2183098 CLIA NUMBER - SMITH PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2183098
  • Facility Name: SMITH PHARMACY
  • Facility Address: 1800 FREEDOM ROAD
    LITTLE CHUTE, WI
    ZIP 54140
  • Facility Phone: 920 788-8888
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. NIC SMITH
  • NPI Number: 1780225003
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2183098
LAB Type Pharmacy
Facility Name SMITH PHARMACY
Street 1800 FREEDOM ROAD
City LITTLE CHUTE
State WI
ZIP 54140
Phone 920 788-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Pharmacy
Lab Director MR. NIC SMITH

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