52D2197759 CLIA NUMBER - NORTH SHORE PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2197759
  • Facility Name: NORTH SHORE PHARMACY
  • Facility Address: 1421 E CAPITOL DRIVE
    SHOREWOOD, WI
    ZIP 53211
  • Facility Phone: 414 962-9665
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE E. BEYER
  • NPI Number: 1316009038
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2197759
LAB Type Pharmacy
Facility Name NORTH SHORE PHARMACY
Street 1421 E CAPITOL DRIVE
City SHOREWOOD
State WI
ZIP 53211
Phone 414 962-9665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Pharmacy
Lab Director KYLE E. BEYER

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