52D2184881 CLIA NUMBER - LANCASTER HOMETOWN PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 52D2184881
  • Facility Name: LANCASTER HOMETOWN PHARMACY LLC
  • Facility Address: 1221 HWY 61
    LANCASTER, WI
    ZIP 53813
  • Facility Phone: 608 885-1155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERI WELTER-KNOKE
  • NPI Number: 1437618451
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2184881
LAB Type Pharmacy
Facility Name LANCASTER HOMETOWN PHARMACY LLC
Street 1221 HWY 61
City LANCASTER
State WI
ZIP 53813
Phone 608 885-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Pharmacy
Lab Director TERI WELTER-KNOKE

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This page was last updated on: 9/29/2025