52D2224273 CLIA NUMBER - WISCONSIN CVS PHARMACY LLC DBA CVS PHARMACY #05535

Laboratory Demographics

  • CLIA Code: 52D2224273
  • Facility Name: WISCONSIN CVS PHARMACY LLC DBA CVS PHARMACY #05535
  • Facility Address: 605 W COTTAGE GROVE
    COTTAGE GROVE, WI
    ZIP 53527
  • Facility Phone: (866) 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN SANFORD
  • NPI Number: 1952678591
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2224273
LAB Type Pharmacy
Facility Name WISCONSIN CVS PHARMACY LLC DBA CVS PHARMACY #05535
Street 605 W COTTAGE GROVE
City COTTAGE GROVE
State WI
ZIP 53527
Phone 8663892727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director KRISTEN SANFORD

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This page was last updated on: 5/18/2026