52D2226443 CLIA NUMBER - WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #08775

Laboratory Demographics

  • CLIA Code: 52D2226443
  • Facility Name: WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #08775
  • Facility Address: W63-N152 WASHINGTON AVE
    CEDARBURG, WI
    ZIP 53012
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIPTI PATEL
  • NPI Number: 1528009495
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2226443
LAB Type Pharmacy
Facility Name WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #08775
Street W63-N152 WASHINGTON AVE
City CEDARBURG
State WI
ZIP 53012
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director DIPTI PATEL

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