52D2185523 CLIA NUMBER - MUELLER DRUGS, INC

Laboratory Demographics

  • CLIA Code: 52D2185523
  • Facility Name: MUELLER DRUGS, INC
  • Facility Address: 132 S MAIN ST
    JEFFERSON, WI
    ZIP 53549
  • Facility Phone: 920 674-5733
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JOSHUA S. LOTZ
  • NPI Number: 1790880243
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2185523
LAB Type Pharmacy
Facility Name MUELLER DRUGS, INC
Street 132 S MAIN ST
City JEFFERSON
State WI
ZIP 53549
Phone 920 674-5733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Pharmacy
Lab Director MR. JOSHUA S. LOTZ

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