52D2185075 CLIA NUMBER - HAYWARD PHARMACY INC DBA SWAN SERV-U PHARMACY

Laboratory Demographics

CLIA Number: 52D2185075

Facility Name: HAYWARD PHARMACY INC DBA SWAN SERV-U PHARMACY

Facility Address:
9130 W NORTH AVE
WAUWATOSA, WI
ZIP 53226
Get Directions

Facility Phone Number: 414 258-9550

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1962564583

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	52D2185075
LAB Type	Pharmacy
Facility Name	HAYWARD PHARMACY INC DBA SWAN SERV-U PHARMACY
Street	9130 W NORTH AVE
City	WAUWATOSA
State	WI
ZIP	53226
Phone	414 258-9550
CertificateType	4
CertificateEffectiveDate	5/29/2022
CertificateExpirationDate	5/28/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024