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

Laboratory Demographics

  • CLIA Code: 52D2185075
  • Facility Name: HAYWARD PHARMACY INC DBA SWAN SERV-U PHARMACY
  • Facility Address: 9130 W NORTH AVE
    WAUWATOSA, WI
    ZIP 53226
  • Facility Phone: 414 258-9550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. ADAM J. PISTINER
  • NPI Number: 1962564583
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Pharmacy
Lab Director MR. ADAM J. PISTINER

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